| NPI | 1528540853 |
|---|---|
| Doing Business As | SMILE 4 LIFE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JENNIE MACUMBER Member/Manager 303-829-9243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO Den00202825) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO DH.000903823) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |