Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Other names
Standley Shores Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA TEUTSCH (CREDENTIALING COORDINATOR)
(217) 540-8972
Entity
Organization
Contact information
Practice address
10071 WADSWORTH PKWY, SUITE #100, WESTMINSTER, CO 80021-3804
(303) 420-9720
(303) 420-0086
Mailing address
10071 WADSWORTH PKWY, SUITE #100, WESTMINSTER, CO 80021-3804
(303) 420-9720
(303) 420-0086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105399
CO
Other
Enumeration date
02/20/2009
Last updated
07/17/2017
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