COLORADO DENTAL SPECIALIST PRACTICE, LLC

AURORA, CO
NPI1518511146
Doing Business AsCOLORADO DENTAL SPECIALISTS
Doing Business AsCOLORADO ORTHODONTIC GROUP
Doing Business AsCOLORADO ENDODONTIC GROUP
Entity TypeOrganization
Authorized ContactMICHELLE JOHNSON
Credentialing Specialist
509-315-8338
Organization Subpart ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
Additional Taxonomies1223E0200X Dentist, Endodontics
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2019-07-31
Last Update Date2019-07-31
Business Address
COLORADO DENTAL SPECIALIST PRACTICE, LLC
18121 E HAMPDEN AVE UNIT E
AURORA, CO 80013-3591
Phone number: 303-317-5335
Mailing Address
COLORADO DENTAL SPECIALIST PRACTICE, LLC
18121 E HAMPDEN AVE UNIT E
AURORA, CO 80013-3591
Phone number: 303-317-5335