Brooks Barefoot Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Lone Tree, CO

NPI

1114243300

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

DEN-10417 (CO)

Sex

Male

Sole proprietor

No

Enumerated

2010-04-13

Last updated

2012-06-28