Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Sangre de Cristo Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
904 HAILEY LN STE A, PUEBLO WEST, CO 81007-4456
(719) 225-1009
(888) 847-1729
Mailing address
904 HAILEY LN STE A, PUEBLO WEST, CO 81007-4456
(719) 470-6356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
07/18/2019
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