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1932609096
COLORADO DENTAL PROFESSIONALS, LLC
EFFINGHAM, IL
NPI
1932609096
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Entity Type
Organization
Authorized Contact
CASSANDRA PETERSEN
Credentialing Team Lead
217-540-8972
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2018-02-15
Last Update Date
2018-02-15
Business Address
COLORADO DENTAL PROFESSIONALS, LLC
1200 NETWORK CENTRE DR
EFFINGHAM, IL 62401-4602
Phone number: 217-540-5100
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Mailing Address
COLORADO DENTAL PROFESSIONALS, LLC
1200 NETWORK CENTRE DR
EFFINGHAM, IL 62401-4602
Phone number: 217-540-5100
Copy
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