| NPI | 1730437807 |
|---|---|
| Doing Business As | LAFAYETTE MODERN SMILES DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JESSICA HETCKO Owner Doctor 303-449-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2013-11-12 |