Organization
NORTHPARK SRGS PLLC
Active
Other names
Smile Heroes
Organization subpart
No
Provider details
NPI number
Authorized official
NINA ABTAHI (MANAGER)
(214) 493-1216
Entity
Organization
Contact information
Practice address
10343 FEDERAL BLVD UNIT O-N, WESTMINSTER, CO 80260-7402
(214) 493-1216
Mailing address
10343 FEDERAL BLVD UNIT O-N, WESTMINSTER, CO 80260-7402
(214) 493-1216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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