| NPI | 1891927265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE HOUSEWRIGHT Orthodontist 303-754-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8767) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |