Organization
OUTREACH FOR SMILES OF COLORADO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE SAN MIGUEL RDH (OWNER)
(210) 412-5798
Entity
Organization
Contact information
Practice address
8519 COLLINGWOOD, UNIVERSAL CITY, TX 78148-2849
(210) 412-5798
Mailing address
8519 COLLINGWOOD, UNIVERSAL CITY, TX 78148-2849
(210) 412-5798
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
906556
CO
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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