| NPI | 1508588500 |
|---|---|
| Doing Business As | GOLDEN SMILES SLOANS LAKE |
| Entity Type | Organization |
| Authorized Contact | GREGORY KOSTELAC Office Manager 303-376-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2023-02-10 |