# COLORADO LOW INCOME DENTAL

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

## Provider details

- **NPI number:** 1326229899
- **Authorized official:** MS. DEBBIE DEWAR (PRESIDENT)
- **Authorized official phone:** (303) 430-7399

## Contact information

- **Practice address:** 2005 FRANKLIN ST, SUITE 590, BUILDING 2, DENVER, CO 80205-5401
- **Practice address phone:** (303) 430-7399
- **Practice address fax:** (303) 863-5851
- **Mailing address:** 2005 FRANKLIN ST, SUITE 590, BUILDING 2, DENVER, CO 80205-5401
- **Mailing address phone:** (303) 430-7399
- **Mailing address fax:** (303) 863-5851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 40946090000 | CO | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 11/26/2007