Organization · NPI-2

Uptown Smiles

Dental Hygienist · Delta, CO

NPI number1891167656
StatusActive
Last updated in NPPESOct 20, 2015

Details

NPI
1891167656
Entity type
Organization (NPI-2)
Legal business name
Uptown Smiles
Organization subpart
No
Enumeration date
Oct 20, 2015
Last updated
Oct 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist202280COYes

Practice location

209 Bert St
Delta, CO 81416-2274

Phone 303-588-7864

Mailing address

209 Bert St
Delta, CO 81416-2274

Phone 303-588-7864

Authorized official

Debbie Jean Mcmahan
Dental Hygienist
3035887864

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