| NPI | 1881101939 |
|---|---|
| Doing Business As | SMILE COLORADO FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERIC M JOHNSON Owner 602-697-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 202569) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |