| NPI | 1851693469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEAN KOFFORD Orthodontist 303-907-8873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8999) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |