Organization
SMILE SOLUTIONS LLC
Active
Other names
Clear Choice Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMON C WILKERSON DDS (OWNER)
(303) 225-0525
Entity
Organization
Contact information
Practice address
2617 E 3RD AVE, DENVER, CO 80206-4705
(303) 225-0525
(303) 225-0526
Mailing address
2617 E 3RD AVE, DENVER, CO 80206-4705
(303) 225-0525
(303) 225-0526
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8281
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87656043
—
CO
Enumeration date
01/02/2008
Last updated
01/03/2008
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