Organization
SMILECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKASH KANCHANLAL D.M.D (PRESIDENT)
(719) 287-0807
Entity
Organization
Contact information
Practice address
10521 S PARKER RD STE E, PARKER, CO 80134-9079
(719) 287-0807
Mailing address
10521 S PARKER RD STE E, PARKER, CO 80134-9079
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8392
CO
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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