Organization
SMILE 5 PROFESSIONALS LLC
Active
Organization
SMILE 5 PROFESSIONALS LLC
Active
Other names
COMFORT DENTAL BRACES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRODIE LEN BOWMAN DMD (OWNER)
(303) 341-2273
Entity
Organization
Contact information
Practice address
10401 EAST COLFAX AVE, AURORA, CO 80010
(303) 341-2273
(303) 344-2286
Mailing address
10401 EAST COLFAX AVE, AURORA, CO 80010
(303) 341-2273
(303) 344-2286
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9750
CO
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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