Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Other names
Mesa Ridge Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY N HOWARD (CRED COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
6980 MESA RIDGE PARKWAY, SUITE 200, FOUNTAIN, CO 80817
(719) 392-4231
(719) 392-9096
Mailing address
6980 MESA RIDGE PARKWAY, SUITE 200, FOUNTAIN, CO 80817
(719) 392-4231
(719) 392-9096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
270
CO
Other
Enumeration date
10/02/2006
Last updated
11/16/2018
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