Colorado Dental Professionals, LLC
NPI #1235621822 in Aurora, Colorado
Provider Information
- NPI Number
- 1235621822
- 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 - General Practice
- Enumeration Date
- May 31, 2018
- Last Updated
- Nov 1, 2018
Practice Location
Authorized Official
- Name
- CASSANDRA PETERSEN
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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