| Colorado Dental Specialist Practice, Llc | |
|
9385 S Colorado Blvd Unit 102 Highlands Ranch CO 80126-5241 | |
| (720) 439-2984 | |
| Not Available |
| Full Name | Colorado Dental Specialist Practice, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 9385 S Colorado Blvd Unit 102, Highlands Ranch, Colorado |
| Authorized Official Name and Position | Michelle Johnson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5093158338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Dental Specialist Practice, Llc 9385 S Colorado Blvd Unit 102 Highlands Ranch CO 80126-5241 Ph: (720) 439-2984 | Colorado Dental Specialist Practice, Llc 9385 S Colorado Blvd Unit 102 Highlands Ranch CO 80126-5241 Ph: (720) 439-2984 |
| NPI Number | 1730733361 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 07/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730733361 | NPI | - | NPPES |
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