| NPI | 1982170536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALFRED ROCKE Owner/Orthodontist 303-730-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-12-26 |