| NPI | 1417587858 |
|---|---|
| Doing Business As | SOCO SMILES ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KOFFORD Owner 719-331-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |