Colorado Dental Professionals, LLC
NPI #1932609096 in Effingham, Illinois
Provider Information
- NPI Number
- 1932609096
- Entity Type
- Organization
- Organization Name
- Colorado Dental Professionals, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 15, 2018
- Last Updated
- Feb 15, 2018
Practice Location
Authorized Official
- Name
- CASSANDRA PETERSEN
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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