Individual
CRISTINA MARTHA CONCEICAO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3216 ARAPAHOE AVE, BOULDER, CO 80303-1043
(303) 442-5000
Mailing address
2276 BLACK DUCK AVE, JOHNSTOWN, CO 80534-9269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204649
CO
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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