Organization
SIGNATURE COLORADO DENTAL PARTNERS LLC
Active
Parent organization
SIGNATURE DENTAL PARTNERS LLC
Other names
Holistic Dentistry Durango, Governors Park Dental Group, Mark T Albers DDS, Edward Lacy DDS, One Stop Dental, Denver Place Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIGNATURE DENTAL PARTNERS LLC
Authorized official
MRS. MELODY BENNION (DIRECTOR OF INTEGRATIONS)
(480) 234-8490
Entity
Organization
Contact information
Practice address
700 E 9TH AVE UNIT 102, DENVER, CO 80203-3360
(303) 832-7789
(303) 832-0427
Mailing address
410 N 44TH ST STE 290, PHOENIX, AZ 85008-7622
(480) 626-4154
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
06/27/2023
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