| NPI | 1821461757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CLAYDEN Member 720-427-2818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |