Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Clarkson Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
TABATHA LEMKE (CREDENTIALING)
(217) 540-6078
Entity
Organization
Contact information
Practice address
3601 S CLARKSON ST STE 310, ENGLEWOOD, CO 80113-3947
(303) 762-8048
Mailing address
3601 S CLARKSON ST STE 310, ENGLEWOOD, CO 80113-3947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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