| NPI | 1992361067 |
|---|---|
| Doing Business As | SMILECOS |
| Entity Type | Organization |
| Authorized Contact | SHELLY JOHNSON Office Manager 719-632-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-07-11 |