NPI 1194350892

Kidz & Family Smiles, PLLC

Organisation Dentist La Junta, CO

Practice location

Address: 214 Santa Fe Ave, La Junta, CO 81050-1524
Phone: (719) 821-1240
Mailing address: 12 Purdue St, Pueblo, CO 81005-2018

Authorised official

Name: Jenny Alas
Title: Owner
Phone: (719) 821-1240

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1194350892
Entity type: Organization
NPI issued: 3 Mar 2020
Record last updated: 3 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.