| NPI | 1811972094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY R. SMITH President 303-799-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 04949) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2021-01-11 |