Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Oak Meadows Village Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
6145 FIRESTONE BLVD, FIRESTONE, CO 80504-5879
(720) 204-4074
Mailing address
6145 FIRESTONE BLVD, FIRESTONE, CO 80504-5879
(720) 204-4074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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