| NPI | 1053560425 |
|---|---|
| Doing Business As | ALL SMILES ORTHODONTIX |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN M RATHKE Team Leader 719-599-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 7582) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 7606) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |