Smiles On the Go

NPI #1083245484 in Longmont, Colorado

Provider Information

NPI Number: 1083245484
Entity Type: Organization
Organization Name: Smiles On the Go
Primary Specialty: Dental Hygienist
Enumeration Date: Feb 4, 2020
Last Updated: Feb 4, 2020

Practice Location

Address: 1361 FRANCIS STREET
Address 2: SUITE 202 UNIT D
City: Longmont
State: Colorado
ZIP Code: 80501
Phone: (720) 592-6895

Authorized Official

Name: ANNMARIE CHADDIC, RDH
Title: REGISTERED DENTAL HYGIENIST
Phone: (720) 592-6895

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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