| Mo Smiles Llc | |
|
7175 W Jefferson Ave Ste 2800 Lakewood CO 80235-2319 | |
| (720) 627-7734 | |
| (303) 265-9247 |
| Full Name | Mo Smiles Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7175 W Jefferson Ave Ste 2800, Lakewood, Colorado |
| Authorized Official Name and Position | Jenifer Sue Candelas (OWNER) |
| Authorized Official Contact | 7202778251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mo Smiles Llc 8461 Turnpike Dr Ste 203 Westminster CO 80031-4379 Ph: (720) 627-7734 | Mo Smiles Llc 7175 W Jefferson Ave Ste 2800 Lakewood CO 80235-2319 Ph: (720) 627-7734 |
| NPI Number | 1205508413 |
|---|---|
| Provider Enumeration Date | 10/05/2021 |
| Last Update Date | 10/05/2021 |
| Certification Date | 10/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205508413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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