Organization
USMILE DENTAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHIFMAN DDS (CLINICAL DIRECTOR)
(720) 520-2053
Entity
Organization
Contact information
Practice address
9801 E COLFAX AVE, AURORA, CO 80010-2154
(720) 520-2053
Mailing address
9801 E COLFAX AVE, AURORA, CO 80010-2154
(720) 520-2053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00010381
CO
1223G0001X
General Practice Dentistry
Primary
DEN.00010381
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN.00010381
CO
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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