Organization
SMILE BAR LLC
Active
Other names
Smile Bar LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TARA MARIE BONNEAU RDH, BS, MBA (CEO)
(303) 808-7722
Entity
Organization
Contact information
Practice address
1752 28TH AVE, GREELEY, CO 80634-5715
(303) 808-7722
Mailing address
1752 28TH AVE, GREELEY, CO 80634-5715
(303) 808-7722
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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