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Organization

COLORADO DENTAL PROFESSIONALS, LLC

Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Gateway Smiles Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
KENDRA WALKER (CREDENTIALING TEAM LEAD)
(217) 540-8312
Entity
Organization

Contact information

Practice address
25531 E SMOKY HILL RD, UNIT E, AURORA, CO 80016-1391
(720) 325-1489
Mailing address
25531 E SMOKY HILL RD, UNIT E, AURORA, CO 80016-1391

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/29/2016
Last updated
04/29/2016
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