| NPI | 1801321179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SCHLEPPY Insurance Specialist 970-224-4294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 6997) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2018-05-07 |