Big Smiles Colorado Pc

NPI 1023249836 - Dentist - 1223G0001X

NPI Details
NPI 1023249836
Enumeration Date 07/29/2009
Last Updated 07/29/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ELLIOT PAUL ELLIOT
Position OWNER
Phone (800) 409-2563
Fax (623) 321-6268
Practice Location
26926 FERN GULCH RD
EVERGREEN CO, 80439-5633, US
Phone (800) 409-2563
Fax (623) 321-6268
Business Location
1904 W PARKSIDE LN
SUITE 201
PHOENIX AZ, 85027-1228, US
Phone (800) 409-2563
Fax (623) 321-6268
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 24337
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According to our database, Big Smiles Colorado Pc NPI is 1023249836, taxonomy code is 1223G0001X and license number is 24337, license state is located at California. Big Smiles Colorado Pc physically located at 26926 Fern Gulch Rd, Evergreen CO, 80439-5633. NPI Number 1033115704 has the healthcare provider type.

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1023249836 NPI number is provided on an as is basis without warranty of any kind. 1023249836 is maintained by the National Plan & Provider Enumeration System. The contents of Big Smiles Colorado Pc are for informational purposes only.