Organization
PEDIATRIC SEDATION DENTISTRY OF COLORADO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW LUCERO DMD (OWNER)
(720) 828-2106
Entity
Organization
Contact information
Practice address
4027 BOARDWALK DR, FORT COLLINS, CO 80525-5938
(720) 828-2106
Mailing address
2755 ELIOT ST, DENVER, CO 80211-4111
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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