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Organization

BLUE YONDER DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN LANE COMBS DDS (OWNER)
(308) 631-3833
Entity
Organization

Contact information

Practice address
9205 E. 159TH AVE, BRIGHTON, CO 80602-8676
(720) 836-1127
(720) 836-3322
Mailing address
9205 E. 159TH AVE, BRIGHTON, CO 80602-8676
(720) 836-1127
(720) 836-3322

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
DEN.00006022
CO
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
932363-01
CO
05
93236301
CO
Enumeration date
07/06/2015
Last updated
02/05/2019
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