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Organization

KIDS SMILES DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JINA K RASOULI DDS (DENTIST)
(720) 232-3095
Entity
Organization

Contact information

Practice address
1835 S FEDERAL BLVD, DENVER, CO 80219-4953
(303) 937-3750
(303) 935-5367
Mailing address
1235 S DOWNING ST, DENVER, CO 80210-1715
(720) 232-3095

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/19/2022
Last updated
12/19/2022
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