5TH AVE SMILE LLC

AURORA, CO
NPI1144742628
Entity TypeOrganization
Authorized ContactJUSTICE OSEI TUTU
Dental Hygienist
303-360-7462
Organization Subpart ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  DH.002024345)
Enumeration Date2017-07-17
Last Update Date2022-07-21
Business Address
5TH AVE SMILE LLC
2044 CLINTON ST UNIT B
AURORA, CO 80010-1003
Phone number: 303-360-7462
Mailing Address
5TH AVE SMILE LLC
2044 CLINTON ST UNIT B
AURORA, CO 80010-1003
Phone number: 303-360-7462