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 |