| NPI | 1962861104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J BARRETT Owner 720-529-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 00105275) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |