| Smile Two, Prof. Llc | |
|
1221 S Pueblo Blvd Pueblo CO 81005-1507 | |
| (719) 564-5433 | |
| Not Available |
| Full Name | Smile Two, Prof. Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1221 S Pueblo Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Liz Blevins (OFFICE MANGAGER) |
| Authorized Official Contact | 7196221225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Two, Prof. Llc 3952 N Academy Blvd Ste A Colorado Springs CO 80917-5910 Ph: (719) 622-1225 | Smile Two, Prof. Llc 1221 S Pueblo Blvd Pueblo CO 81005-1507 Ph: (719) 564-5433 |
| NPI Number | 1285406728 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285406728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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