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1366912180
MY LOCAL COLORADO DENTAL PRACTICE, LLC
WESTMINSTER, CO
NPI
1366912180
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Entity Type
Organization
Authorized Contact
MICHELLE JOHNSON
Credentialing Specialist
509-315-8338
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2018-12-05
Last Update Date
2018-12-05
Business Address
MY LOCAL COLORADO DENTAL PRACTICE, LLC
2721 W 120TH AVE STE 200
WESTMINSTER, CO 80234-2946
Phone number: 303-586-6985
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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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