Colorado Dental Professionals, LLC
NPI #1770791790 in Centennial, Colorado
Provider Information
- NPI Number
- 1770791790
- Entity Type
- Organization
- Organization Name
- Colorado Dental Professionals, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 21, 2007
- Last Updated
- Nov 14, 2018
Practice Location
- Address
- 18525 E SMOKY HILL RD
- Address 2
- SUITE D
- City
- Centennial
- State
- Colorado
- ZIP Code
- 80015-3108
- Phone
- (303) 617-9090
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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