| Smile Rockers, Pllc | |
|
4955 W 72nd Ave Unit L1 Westminster CO 80030-5146 | |
| (630) 750-1429 | |
| Not Available |
| Full Name | Smile Rockers, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4955 W 72nd Ave Unit L1, Westminster, Colorado |
| Authorized Official Name and Position | Lori Cackovic (OWNER) |
| Authorized Official Contact | 3039529796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Rockers, Pllc 4955 W. 72nd Ave., Unit L1 Westminster CO 80030-5146 Ph: (303) 952-9796 | Smile Rockers, Pllc 4955 W 72nd Ave Unit L1 Westminster CO 80030-5146 Ph: (630) 750-1429 |
| NPI Number | 1124571617 |
|---|---|
| Provider Enumeration Date | 08/01/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124571617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DH.000906409 (Colorado) | Primary |
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