Organization
DENTAL HEALTH PROFESSIONALS OF COLORADO
Active
Parent organization
COLORADO PRECISION DENTISTRY AND AESTHETICS
Other names
Colorado Precision Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO PRECISION DENTISTRY AND AESTHETICS
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
1200 NETWORK CENTRE DR STE 2, EFFINGHAM, IL 62401-4637
(217) 540-8306
Mailing address
1200 NETWORK CENTRE DR STE 2, EFFINGHAM, IL 62401-4637
(217) 540-8306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
05/28/2022
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