Organization
A HEALTHY SMILE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE WILSON D.D.S. (OWNER)
(719) 590-8895
Entity
Organization
Contact information
Practice address
4185 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-3767
(719) 590-8895
(719) 590-1078
Mailing address
4185 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-3767
(719) 590-8895
(719) 590-1078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105879
CO
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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