Outreach for Smiles of Colorado, Pllc

NPI #1619237633 in Universal City, Texas

Provider Information

NPI Number: 1619237633
Entity Type: Organization
Organization Name: Outreach for Smiles of Colorado, Pllc
Primary Specialty: Dental Hygienist
Enumeration Date: May 23, 2012
Last Updated: May 23, 2012

Practice Location

Address: 8519 COLLINGWOOD
City: Universal City
State: Texas
ZIP Code: 78148-2849
Phone: (210) 412-5798

Authorized Official

Name: LORRAINE SAN MIGUEL, RDH
Title: OWNER
Phone: (210) 412-5798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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