Organization
COLORADO FD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED OFFICIAL)
(214) 702-0708
Entity
Organization
Contact information
Practice address
255 UNION BLVD STE 410, LAKEWOOD, CO 80228-1852
(303) 500-5510
Mailing address
15660 DALLAS PKWY STE 925, DALLAS, TX 75248-3323
(214) 702-0729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
07/19/2024
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