Organization
SMILES 4 KIDS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON LEHMAN (CREDENTIALING SPECIALIST)
(720) 603-4779
Entity
Organization
Contact information
Practice address
2400 W. 16TH STREET, SUITE A, GREELEY, CO 80634
(970) 395-1000
Mailing address
2400 W. 16TH STREET, SUITE A, GREELEY, CO 80634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8647
CO
Other
Enumeration date
01/11/2012
Last updated
07/09/2021
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