Organization
ORTHO LIMITED LIABILITY COMPANY, PROFESSIONAL LLC
Active
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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