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Organization
SOCO SMILES NORTH LLC
Active
Organization
SOCO SMILES NORTH LLC
Active
Other names
SoCO Smiles Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KOFFORD DMD, MSD (OWNER)
(719) 331-2504
Entity
Organization
Contact information
Practice address
8540 SCARBOROUGH DR STE 250, COLORADO SPRINGS, CO 80920-7502
(719) 487-9303
Mailing address
4625 ALPGLEN CT, COLORADO SPRINGS, CO 80906-8213
(719) 331-2504
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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