MY LOCAL COLORADO DENTAL PRACTICE, LLC

WESTMINSTER, CO
NPI1366912180
Entity TypeOrganization
Authorized ContactMICHELLE JOHNSON
Credentialing Specialist
509-315-8338
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2018-12-05
Last Update Date2018-12-05
Business Address
MY LOCAL COLORADO DENTAL PRACTICE, LLC
2721 W 120TH AVE STE 200
WESTMINSTER, CO 80234-2946
Phone number: 303-586-6985
Mailing Address
MY LOCAL COLORADO DENTAL PRACTICE, LLC
6110 BARNES RD
COLORADO SPRINGS, CO 80922-2600
Phone number: