Colorado Dental Professionals, LLC
NPI #1558870188 in Centennial, Colorado
Provider Information
- NPI Number
- 1558870188
- 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
- Sep 27, 2017
- Last Updated
- Sep 27, 2017
Practice Location
- Address
- 20921 E SMOKY HILL RD UNIT A
- City
- Centennial
- State
- Colorado
- ZIP Code
- 80015-5126
- Phone
- (303) 690-7778
Authorized Official
- Name
- CASSANDRA PETERSEN
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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