Colorado Dental Professionals, LLC

NPI #1083706543 in Thornton, Colorado

Provider Information

NPI Number: 1083706543
Entity Type: Organization
Organization Name: Colorado Dental Professionals, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: COLORADO DENTAL PROFESSIONALS, LLC
Primary Specialty: Dentist
Enumeration Date: Sep 29, 2006
Last Updated: Sep 7, 2023

Practice Location

Address: 10001 WASHINGTON ST
City: Thornton
State: Colorado
ZIP Code: 80229-2050
Phone: (303) 452-2053

Authorized Official

Name: CASSANDRA PETERSEN
Title: CREDENTIALING TEAM LEAD
Phone: (217) 540-8972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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