Mountain Smiles, Pllc

NPI #1306507736 in Denver, Colorado

Provider Information

NPI Number: 1306507736
Entity Type: Organization
Organization Name: Mountain Smiles, Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 7, 2022
Last Updated: Apr 9, 2024

Practice Location

Address: 1225 35TH ST
City: Denver
State: Colorado
ZIP Code: 80205
Phone: (720) 440-7743

Authorized Official

Name: JOHN LYDIATT, DDS
Title: OWNER DENTIST
Phone: (719) 599-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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