Soco Smiles North Llc | |
8540 Scarborough Dr Ste 250 Colorado Springs CO 80920-7502 | |
(719) 487-9303 | |
Not Available |
Full Name | Soco Smiles North Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 8540 Scarborough Dr Ste 250, Colorado Springs, Colorado |
Authorized Official Name and Position | Michael Kofford (OWNER) |
Authorized Official Contact | 7193312504 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soco Smiles North Llc 4625 Alpglen Ct Colorado Springs CO 80906-8213 Ph: (719) 331-2504 | Soco Smiles North Llc 8540 Scarborough Dr Ste 250 Colorado Springs CO 80920-7502 Ph: (719) 487-9303 |
NPI Number | 1417587858 |
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Provider Enumeration Date | 01/24/2020 |
Last Update Date | 01/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417587858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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