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Organization

COLORADO DENTAL PROFESSIONALS, LLC

Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Advanced Dental on Smoky Hill Road
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
CASSANDRA PETERSEN (CREDENTIALING COORDINATOR)
(217) 540-8972
Entity
Organization

Contact information

Practice address
20921 E SMOKY HILL RD UNIT A, CENTENNIAL, CO 80015-5126
(303) 690-7778
Mailing address
20921 E SMOKY HILL RD UNIT A, CENTENNIAL, CO 80015-5126

Taxonomy

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

Other

Enumeration date
09/27/2017
Last updated
09/27/2017
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