Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Other names
Centennial Complete Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA WALKER (ENROLLMENT TEAM LEAD)
(217) 540-8513
Entity
Organization
Contact information
Practice address
6726 S REVERE PKWY # A140, CENTENNIAL, CO 80112-3961
(303) 662-1180
Mailing address
6726 S REVERE PKWY # A140, CENTENNIAL, CO 80112-3961
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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