Organization
SMILEMATIC, PLLC
Active
Other names
Smilematic Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE KIM DDS (MANAGER)
(310) 560-2962
Entity
Organization
Contact information
Practice address
1710 S BUCKLEY RD UNIT 8A, AURORA, CO 80017-5639
(310) 560-2962
Mailing address
2589 S DAHLIA ST, DENVER, CO 80222-6559
(310) 560-2962
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26320266
—
CO
05
—
67155057
—
CO
Enumeration date
12/17/2020
Last updated
12/17/2020
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