NPI | 1285406728 |
---|---|
Former Legal Business Name | SMILE FOUR, PROF. LLC |
Doing Business As | COMFORT DENTAL BRACES |
Entity Type | Organization |
Authorized Contact | LIZ BLEVINS Office Mangager 719-622-1225 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2023-10-27 |
Last Update Date | 2023-10-27 |