Organization
CO SPECIALTY DENTAL SERVICES PLLC
Active
Parent organization
CO SPECIALTY DENTAL SERVICES PLLC
Other names
Colorado Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
CO SPECIALTY DENTAL SERVICES PLLC
Authorized official
CHARLOTTE DASCH (DIRECTOR OF PROVIDER RELATIONS)
(504) 638-0303
Entity
Organization
Contact information
Practice address
901 E 120TH AVE UNIT E, THORNTON, CO 80233-5717
(303) 452-0077
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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