Organization
SMILE TWO, PROF. LLC
Active
Parent organization
SMILE TWO, PROF. LLC
Other names
Comfort Dental Braces, Smile Four, Prof. LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMILE TWO, PROF. LLC
Authorized official
LIZ BLEVINS (OFFICE MANGAGER)
(719) 622-1225
Entity
Organization
Contact information
Practice address
1221 S PUEBLO BLVD, PUEBLO, CO 81005-1507
(719) 564-5433
Mailing address
3952 N ACADEMY BLVD STE A, COLORADO SPRINGS, CO 80917-5910
(719) 622-1225
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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