Organization
SOCO SMILES NORTH LLC
Active
Other names
SoCO Smiles Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KOFFORD DMD, MSD (OWNER)
(719) 331-2504
Entity
Organization
Contact information
Practice address
8540 SCARBOROUGH DR STE 250, COLORADO SPRINGS, CO 80920-7502
(719) 487-9303
Mailing address
4625 ALPGLEN CT, COLORADO SPRINGS, CO 80906-8213
(719) 331-2504
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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