| NPI | 1720210339 |
|---|---|
| Doing Business As | SMILE 4 LIFE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JENNIE MACUMBER President 303-829-9243 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 903823) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2017-05-12 |