Organization · Type 2 NPI
Smiles 4 Kids 111 LLC
Dental Clinic/Center · Eagle, CO
NPI number
1255660080
Active
Practice location
50 Chamber Ave
Eagle, CO 81631
Mailing address
1601 Oxbow Drive, Suite 360 A
Montrose, CO 81401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 8632 (CO) |
Dental Clinic/Center: Definition to come...
About NPI 1255660080
Smiles 4 Kids 111 LLC's National Provider Identifier is 1255660080, issued on Dec 7, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Eagle, CO. The record was last updated on Dec 7, 2009.