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Organization

COLORADO DENTAL PROFESSIONALS, LLC

Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Mountain Ridge Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization

Contact information

Practice address
2297 STATE HIGHWAY 7, ERIE, CO 80516-8009
(217) 540-5100
Mailing address
2297 STATE HIGHWAY 7, ERIE, CO 80516-8009
(217) 540-5100

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/06/2017
Last updated
12/06/2017
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