Organization
LAFAYETTE MODERN SMILES DENTISTRY AND ORTHODONTICS, LLP
Active
Other names
Lafayette Modern Smiles Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA HETCKO DDS (OWNER DOCTOR)
(303) 449-0116
Entity
Organization
Contact information
Practice address
1217 DIAMOND CIR UNIT 1, LAFAYETTE, CO 80026-9330
(303) 449-0116
(303) 449-4866
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
11/12/2013
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