Organization
ORTHO LIMITED LIABILITY COMPANY, PROFESSIONAL LLC
Active
Other names
All Smiles Orthodontix
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN M RATHKE (TEAM LEADER)
(719) 599-0665
Entity
Organization
Contact information
Practice address
3715 BLOOMINGTON ST, SUITE 160, COLORADO SPRINGS, CO 80922-3204
(719) 599-0665
(719) 599-0591
Mailing address
3715 BLOOMINGTON ST, SUITE 160, COLORADO SPRINGS, CO 80922-3204
(719) 599-0665
(719) 599-0591
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7582
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7606
CO
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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