| NPI | 1881709913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD NEWHALL EDGREN Orthodontist 970-356-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 6883) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |