Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Centerplace Dental Care
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
4552 CENTERPLACE DR STE 200, GREELEY, CO 80634-3759
(970) 400-7822
Mailing address
4552 CENTERPLACE DR STE 200, GREELEY, CO 80634-3759
(970) 400-7822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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