Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Dental Care at Ledge Rock
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
4585 LEDGE ROCK DR, JOHNSTOWN, CO 80534-8007
(970) 660-4001
Mailing address
4585 LEDGE ROCK DR, JOHNSTOWN, CO 80534-8007
(970) 660-4001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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