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Organization

COLORADO DENTAL PROFESSIONALS, LLC

Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Aspen View 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
5104 S FIELD ST, LITTLETON, CO 80123-7329
(303) 935-3737
Mailing address
5104 S FIELD ST, LITTLETON, CO 80123-7329
(303) 935-3737

Taxonomy

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

Other

Enumeration date
09/05/2018
Last updated
09/05/2018
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