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Organization
SMILELAST LLC
Active
Organization
SMILELAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO DIMITRY (OWNER)
(951) 288-5271
Entity
Organization
Contact information
Practice address
1499 BLAKE ST STE 1J, DENVER, CO 80202-1356
(951) 288-5271
Mailing address
1499 BLAKE ST STE 1J, DENVER, CO 80202-1356
(951) 288-5271
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/20/2024
Last updated
03/04/2024
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