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Organization
HIDDEN LAKE DENTAL GROUP, LLP
Active
Organization
HIDDEN LAKE DENTAL GROUP, LLP
Active
Other names
Hidden Lake Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA B PETERS DDS (OWNER)
(303) 427-4001
Entity
Organization
Contact information
Practice address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(303) 427-4001
(303) 427-4072
Mailing address
7025 SHERIDAN BLVD, SUITE 200, WESTMINSTER, CO 80003
(303) 427-4001
(303) 427-4072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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