NPI | 1790056281 |
---|---|
Entity Type | Organization |
Authorized Contact | ROY M LORENZ Orthodontist 303-690-2333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 104973) |
Enumeration Date | 2012-01-16 |
Last Update Date | 2012-01-16 |