| NPI | 1457759177 |
|---|---|
| Doing Business As | AESTHETIC SMILES |
| Entity Type | Organization |
| Authorized Contact | ANDREW R MORTENSEN Owner/President 970-484-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CO 9400) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: CO 7476) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |