| NPI | 1811439912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOJCIECH BOBAK Owner 303-988-0844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 7190) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |