# BLUE YONDER DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023491297
- **Authorized official:** DR. STEVEN LANE COMBS DDS (OWNER)
- **Authorized official phone:** (308) 631-3833

## Contact information

- **Practice address:** 9205 E. 159TH AVE, BRIGHTON, CO 80602-8676
- **Practice address phone:** (720) 836-1127
- **Practice address fax:** (720) 836-3322
- **Mailing address:** 9205 E. 159TH AVE, BRIGHTON, CO 80602-8676
- **Mailing address phone:** (720) 836-1127
- **Mailing address fax:** (720) 836-3322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DEN.00006022 | CO | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2015
- **Last updated:** 02/05/2019