Smile 4 Life, P.c.

NPI #1720210339 in Commerce City, Colorado

Provider Information

NPI Number: 1720210339
Entity Type: Organization
Organization Name: Smile 4 Life, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: SMILE 4 LIFE, P.C.
Primary Specialty: Dentist
Enumeration Date: Aug 14, 2009
Last Updated: May 12, 2017

Practice Location

Address: 12253 E 104TH PLACE
Address 2: SUITE 105
City: Commerce City
State: Colorado
ZIP Code: 80022
Phone: (303) 853-8000

Authorized Official

Name: JENNIE MACUMBER, R.D.H.
Title: PRESIDENT
Phone: (303) 829-9243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dentist	122300000X	Primary

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