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Organization

COLORADO DENTAL PROFESSIONALS, LLC

Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Sand Hill 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
7903 SILICON HTS, COLORADO SPRINGS, CO 80939-9734
(719) 354-2900
Mailing address
7903 SILICON HTS, COLORADO SPRINGS, CO 80939-9734
(719) 354-2900

Taxonomy

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

Other

Enumeration date
07/26/2021
Last updated
07/26/2021
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