Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
The Dentist of Colorado
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
20250 E SMOKY HILL RD UNIT 5, CENTENNIAL, CO 80015-3118
(303) 400-9700
Mailing address
20250 E SMOKY HILL RD UNIT 5, CENTENNIAL, CO 80015-3118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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