Colorado Dental Professionals, LLC

NPI #1902265382 in Thornton, Colorado

Provider Information

NPI Number: 1902265382
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: Feb 15, 2016
Last Updated: Feb 15, 2016

Practice Location

Address: 12889 QUEBEC STREET
City: Thornton
State: Colorado
ZIP Code: 80602
Phone: (303) 557-7678

Authorized Official

Name: KENDRA WALKER
Title: CREDENTIALING TEAM LEAD
Phone: (217) 540-8312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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