Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
North Washington Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
(217) 540-8972
Entity
Organization
Contact information
Practice address
10001 WASHINGTON ST, THORNTON, CO 80229-2050
(303) 452-2053
(303) 280-9388
Mailing address
10001 WASHINGTON ST, THORNTON, CO 80229-2050
(303) 452-2053
(303) 280-9388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0218
CO
122300000X
Dentist
104242
CO
122300000X
Dentist
105657
CO
122300000X
Dentist
Primary
6850
CO
Other
Enumeration date
09/29/2006
Last updated
09/07/2023
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