| Smiles 4 Kids 111 Llc | |
|
50 Chamber Ave Eagle CO 81631 | |
| (970) 249-8595 | |
| Not Available |
| Full Name | Smiles 4 Kids 111 Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 50 Chamber Ave, Eagle, Colorado |
| Authorized Official Name and Position | Benjamin George Wilson (OWNER) |
| Authorized Official Contact | 9702498595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles 4 Kids 111 Llc 1601 Oxbow Drive Suite 360 A Montrose CO 81401 Ph: (970) 249-8595 | Smiles 4 Kids 111 Llc 50 Chamber Ave Eagle CO 81631 Ph: (970) 249-8595 |
| NPI Number | 1255660080 |
|---|---|
| Provider Enumeration Date | 12/07/2009 |
| Last Update Date | 12/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255660080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8632 (Colorado) | Primary |
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