NPI | 1649825886 |
---|---|
Doing Business As | COLORADO DENTAL SPECIALISTS |
Doing Business As | ALL SMILES ORTHODONTICS |
Doing Business As | COLORADO ENDODONTIC GROUP |
Doing Business As | COLORADO ORAL SURGERY GROUP |
Entity Type | Organization |
Authorized Contact | MICHELLE JOHNSON Credentialing Specialists 509-315-8338 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223P0300X Dentist, Periodontics | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2019-08-05 |
Last Update Date | 2019-09-12 |