Organization
SMILE TEC
Active
Other names
Hubbard Family Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE MARGUERITE HUBBARD RDH (DENTAL HYGIENIST)
(970) 301-1363
Entity
Organization
Contact information
Practice address
5207 W B ST, GREELEY, CO 80634-4269
(970) 301-1363
Mailing address
5207 W B ST, GREELEY, CO 80634-4269
(970) 301-1363
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
905326
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
970072214
—
CO
Enumeration date
06/14/2014
Last updated
06/14/2014
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