Colorado Dental Specialist Practice, LLC

NPI #1043963697 in Denver, Colorado

Provider Information

NPI Number
1043963697
Entity Type
Organization
Organization Name
Colorado Dental Specialist Practice, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
COLORADO DENTAL SPECIALIST PRACTICE, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 2, 2022
Last Updated
Feb 2, 2022

Practice Location

Address
4301 E AMHERST AVE
City
Denver
ZIP Code
80222-6790
Phone
(303) 758-5858

Authorized Official

Name
GREGORY KOSTELAC
Title
RCM ANALYST
Phone
(719) 372-5605

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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