| NPI | 1942382999 |
|---|---|
| Doing Business As | HIGHLANDS RANCH ORTHODONTICS PC |
| Entity Type | Organization |
| Authorized Contact | DARRELL L HAVENER President CEO 303-791-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CO 5118) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |