Organization
SELECT SMILES
Active
Other names
Elite Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY W ECKHARDT DDS (OWNER/DENTIST)
(970) 219-7307
Entity
Organization
Contact information
Practice address
2855 35TH AVE UNIT B, GREELEY, CO 80634-9474
(970) 660-0925
Mailing address
6804 PUMPKIN RIDGE DR, WINDSOR, CO 80550-7016
(970) 219-7307
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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