GREAT SMILES DENTISTRY LLC NPI 1649733585

NPI Information

GREAT SMILES DENTISTRY, LLC is a dental clinic center in Boulder, CO. GREAT SMILES DENTISTRY, LLC NPI is 1649733585. The provider is registered as an organization entity type.

The provider's business location address is:

1656 30TH ST
BOULDER, CO
ZIP 80301-014
Phone: (303) 444-4922

The provider's authorized official is Maya Q Turner .
The authorized official title is Coo and has the following contact phone number (303) 542-0288.

The enumeration date for this NPI number is 4/8/2019 and was last updated on 4/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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