Organization
COLORADO LOW INCOME DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE DEWAR (PRESIDENT)
(303) 430-7399
Entity
Organization
Contact information
Practice address
2005 FRANKLIN ST, SUITE 590, BUILDING 2, DENVER, CO 80205-5401
(303) 430-7399
(303) 863-5851
Mailing address
2005 FRANKLIN ST, SUITE 590, BUILDING 2, DENVER, CO 80205-5401
(303) 430-7399
(303) 863-5851
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
40946090000
CO
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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