Colorado Dental Specialist Practice, Llc | |
1691 Coalton Rd Superior CO 80027-4681 | |
(720) 304-3267 | |
Not Available |
Full Name | Colorado Dental Specialist Practice, Llc |
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Speciality | Dentist - Periodontics |
Location | 1691 Coalton Rd, Superior, 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 |
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Colorado Dental Specialist Practice, Llc 1691 Coalton Rd Superior CO 80027-4681 Ph: (720) 304-3267 | Colorado Dental Specialist Practice, Llc 1691 Coalton Rd Superior CO 80027-4681 Ph: (720) 304-3267 |
NPI Number | 1124672753 |
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Provider Enumeration Date | 07/31/2019 |
Last Update Date | 07/31/2019 |
Identifier | Type | State | Issuer |
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1124672753 | NPI | - | NPPES |
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