Organization
MOBILE SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA DOLORES MILNER RDH (MANAGING MEMBER)
(719) 351-0524
Entity
Organization
Contact information
Practice address
2510 ANTIETAM LN, COLORADO SPRINGS, CO 80920-1403
(719) 351-0524
Mailing address
2510 ANTIETAM LN, COLORADO SPRINGS, CO 80920-1403
(719) 351-0524
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2638
CO
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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