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Organization
BENNETT DENTAL CENTER LLC
Active
Organization
BENNETT DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA K COFFEE DDS (DOCTOR/OWNER)
(720) 480-4580
Entity
Organization
Contact information
Practice address
280 E COLFAX AVE, UNIT 1, BENNETT, CO 80102-0514
(303) 644-5058
(303) 644-5270
Mailing address
PO BOX 514, BENNETT, CO 80102-0514
(303) 644-5058
(303) 644-5270
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
452919129
CO
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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