| NPI | 1972452332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX JOHNSON President 720-339-6354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-01-27 |