NPI | 1831938158 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT V. LAW President 719-569-5715 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2024-05-24 |
Last Update Date | 2024-05-24 |