Organization
CHILDREN'S SMILE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE M GEORGE D.D.S. (DOCTOR)
(719) 598-0012
Entity
Organization
Contact information
Practice address
7770 N UNION BLVD, COLORADO SPRINGS, CO 80920-4087
(719) 598-0012
Mailing address
7770 N UNION BLVD, COLORADO SPRINGS, CO 80920-4087
(719) 598-0012
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6134
CO
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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