Organization
WHEAT RIDGE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEOPOLDO RODRIGUEZ D.D.S (DOCTOR)
(303) 940-9755
Entity
Organization
Contact information
Practice address
7015 W 38TH AVE, WHEAT RIDGE, CO 80033-4876
(303) 940-9755
(303) 940-0811
Mailing address
7015 W 38TH AVE, WHEAT RIDGE, CO 80033-4876
(303) 940-9755
(303) 940-0811
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2481
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32779755
—
CO
Enumeration date
07/15/2008
Last updated
07/15/2008
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