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Organization

COLORADO DENTAL PROFESSIONALS, LLC

Active
Parent organization
HEARTLAND DENTAL
Other names
Implant & General Dentistry of Northern Colorado
Organization subpart
Yes

Provider details

NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization

Contact information

Practice address
2975 GINNALA DR STE 100, LOVELAND, CO 80538-3300
(970) 443-7117
Mailing address
2975 GINNALA DR STE 100, LOVELAND, CO 80538-3300

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/24/2023
Last updated
07/24/2023
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