Organization
CEDAR SMILES LLC
Active
Other names
Cedar Smiles Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DEAN KOFFORD DMD (OWNER)
(719) 331-2504
Entity
Organization
Contact information
Practice address
1751 W ROYAL HUNTE DR STE B, CEDAR CITY, UT 84720-1865
(435) 865-9111
Mailing address
1751 W ROYAL HUNTE DR STE B, CEDAR CITY, UT 84720-1865
(435) 865-9111
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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