Organization
JESSICA LEE SMILES, LCC
Active
Other names
Abundant Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA MERVAU DDS (OWNER)
(269) 908-1589
Entity
Organization
Contact information
Practice address
1220 W 38TH AVE, DENVER, CO 80211
(303) 317-6990
Mailing address
1220 W 38TH AVE, DENVER, CO 80211
(303) 317-6990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00202605
CO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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