| NPI | 1992853162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MELCHER President 303-666-9717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 105587) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2007-08-10 |