Organization
PROFESSIONAL DENTAL GROUP
Active
Other names
Professional Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL G. HILL D.D.S. (OWNER)
(970) 638-2169
Entity
Organization
Contact information
Practice address
1120 W SOUTH BOULDER RD STE 204, LAFAYETTE, CO 80026-8952
(720) 638-2169
(720) 638-2931
Mailing address
1120 W SOUTH BOULDER RD STE 204, LAFAYETTE, CO 80026-8952
(720) 638-2169
(720) 638-2931
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7990
CO
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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