COLORADO DENTAL SPECIALIST PRACTICE, LLC

Dentist — Endodontics

Code: 1223E0200X

Dentist — Periodontics

Code: 1223P0300X

Dentist — Oral and Maxillofacial Surgery

Code: 1223S0112X

Dentist — Orthodontics and Dentofacial Orthopedics

Code: 1223X0400X