| NPI | 1871740092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DOUGLAS BEABER Orthodontist 303-694-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CO 8727) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2016-01-22 |