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1336726280
MY LOCAL COLORADO DENTAL PRACTICE, LLC
AURORA, CO
NPI
1336726280
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Entity Type
Organization
Authorized Contact
MICHELLE JOHNSON
Credentialing Specialist
509-315-8338
Organization Subpart ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2021-03-26
Last Update Date
2021-03-26
Business Address
MY LOCAL COLORADO DENTAL PRACTICE, LLC
990 S ABILENE ST
AURORA, CO 80012-3686
Phone number: 720-687-3983
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Mailing Address
MY LOCAL COLORADO DENTAL PRACTICE, LLC
6110 BARNES RD
COLORADO SPRINGS, CO 80922-2600
Phone number:
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