Smiles 4 Kids 111 LLC

NPI #1255660080 in Eagle, Colorado

Provider Information

NPI Number
1255660080
Entity Type
Organization
Organization Name
Smiles 4 Kids 111 LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 7, 2009
Last Updated
Dec 7, 2009

Practice Location

Address
50 CHAMBER AVE
City
Eagle
ZIP Code
81631
Phone
(970) 249-8595

Authorized Official

Name
BENJAMIN GEORGE WILSON, DDS
Title
OWNER
Phone
(970) 249-8595

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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