Organization
SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ERICKSON (OWNER)
(970) 925-2112
Entity
Organization
Contact information
Practice address
163 FORGE RD UNIT 104, ASPEN, CO 81611-6115
(970) 925-2112
Mailing address
163 FORGE RD UNIT 104, ASPEN, CO 81611-6115
(970) 925-2112
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2108
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437542586
NPI TYPE 1
CO
Enumeration date
10/19/2015
Last updated
10/19/2015
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