| NPI | 1710575451 |
|---|---|
| Doing Business As | SMILE COLORADO FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEREMY ALTDORFER CEO Dentist 740-706-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-08 |