# WHEAT RIDGE FAMILY DENTAL

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

## Provider details

- **NPI number:** 1821252230
- **Authorized official:** DR. LEOPOLDO RODRIGUEZ D.D.S (DOCTOR)
- **Authorized official phone:** (303) 940-9755

## Contact information

- **Practice address:** 7015 W 38TH AVE, WHEAT RIDGE, CO 80033-4876
- **Practice address phone:** (303) 940-9755
- **Practice address fax:** (303) 940-0811
- **Mailing address:** 7015 W 38TH AVE, WHEAT RIDGE, CO 80033-4876
- **Mailing address phone:** (303) 940-9755
- **Mailing address fax:** (303) 940-0811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 2481 | CO | Yes |

## Other

- **Enumeration date:** 07/15/2008
- **Last updated:** 07/15/2008