Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Dental Care at Polaris Pointe
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
BELINDA HUERTA (CREDENTIALING)
(217) 540-2100
Entity
Organization
Contact information
Practice address
13491 BASS PRO DR STE 100, COLORADO SPRINGS, CO 80921-3830
(719) 453-1810
(719) 453-1813
Mailing address
13491 BASS PRO DR STE 100, COLORADO SPRINGS, CO 80921-3830
(719) 453-1810
(719) 453-1813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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