| NPI | 1851644504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STASI Partner / Owner 303-549-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AZ 8340) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |