| NPI | 1528432473 |
|---|---|
| Doing Business As | THE SMILE DEPARTMENT |
| Entity Type | Organization |
| Authorized Contact | BRAD W. ECKHARDT Owner 970-744-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 9157) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |