| NPI | 1851455240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M. TRAUL Owner 970-945-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 130) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |