Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Dental Care at Monument Ridge
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
745 W BAPTIST RD, COLORADO SPRINGS, CO 80921-2454
(719) 203-7375
Mailing address
745 W BAPTIST RD, COLORADO SPRINGS, CO 80921-2454
(719) 203-7375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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