| NPI | 1649676149 | 
|---|---|
| Doing Business As | HEALTHY SMILES SHINE | 
| Entity Type | Organization | 
| Authorized Contact | ELIZABETH MILLER Owner/Operator 303-808-3209 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 903983) | 
| Enumeration Date | 2014-11-10 | 
| Last Update Date | 2014-11-10 |