Organization
MOUNTAIN SMILES - HECK FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL GIMENEZ (CREDENTIALING SR. MANAGER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
5120 CONGRESSIONAL CIR STE 100, LAWRENCE, KS 66049-5236
(785) 856-8550
Mailing address
5120 CONGRESSIONAL CIR STE 100, LAWRENCE, KS 66049-5236
(785) 856-8550
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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