NPI | 1932705811 |
---|---|
Doing Business As | COLORADO ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | OWEN NIEBERG CEO 917-224-8171 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2020-12-07 |
Last Update Date | 2020-12-07 |