| NPI | 1861069536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW IRITANI Dentist 303-773-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2022-04-12 |