Organization
AMAZING SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MELISSA JORGENSEN-BLACKBURN (PRESIDENT/OWNER)
(303) 424-5439
Entity
Organization
Contact information
Practice address
7236 FEDERAL BLVD UNIT 100, WESTMINSTER, CO 80030-4965
(303) 424-5439
(303) 427-5779
Mailing address
7236 FEDERAL BLVD UNIT 100, WESTMINSTER, CO 80030-4965
(303) 424-5439
(303) 427-5779
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
9230
CO
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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