| NPI | 1972776102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD M. WATTS Owner 720-780-0865 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8530) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2021-05-04 |