Organization
SMILES4KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ISABELL HOLYBEE (OFFICE MANAGER)
(970) 249-8595
Entity
Organization
Contact information
Practice address
1601 OXBOW DR UNIT 360-A, MONTROSE, CO 81401-4781
(970) 249-8595
(970) 249-5903
Mailing address
1601 OXBOW DR UNIT 360-A, MONTROSE, CO 81401-4781
(970) 249-8595
(970) 249-5903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8632
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34872311
—
CO
Enumeration date
05/28/2008
Last updated
05/28/2008
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