Smile Doctors Of Colorado, P.c. | |
24 Club Manor Dr Ste 203 Pueblo CO 81008-1659 | |
(719) 417-5625 | |
Not Available |
Full Name | Smile Doctors Of Colorado, P.c. |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 24 Club Manor Dr Ste 203, Pueblo, Colorado |
Authorized Official Name and Position | Scott V. Law (PRESIDENT) |
Authorized Official Contact | 7195695715 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smile Doctors Of Colorado, P.c. 5400 Lbj Fwy Ste 800 Dallas TX 75240-1058 Ph: (719) 569-5715 | Smile Doctors Of Colorado, P.c. 24 Club Manor Dr Ste 203 Pueblo CO 81008-1659 Ph: (719) 417-5625 |
NPI Number | 1043907678 |
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Provider Enumeration Date | 04/24/2023 |
Last Update Date | 04/24/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043907678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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Cover Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 S Pueblo Blvd, Pueblo, CO 81005 Phone: 719-566-0206 | |
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