| NPI | 1831427277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY COOMBS Orthodontist/Owner 970-214-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2023-03-03 |