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 |