Professional Dental Care of Northern Colorado II

NPI #1376142000 in Sterling, Colorado

Provider Information

NPI Number
1376142000
Entity Type
Organization
Organization Name
Professional Dental Care of Northern Colorado II
Subpart
Yes (part of a larger organization)
Parent Organization
SSUN HEALTH, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 23, 2020
Last Updated
Oct 23, 2020

Practice Location

Address
112 DELMAR ST
ZIP Code
80751-4138
Phone
(970) 522-5535

Authorized Official

Name
CARY LACOUTURE, DDS
Title
OWNER
Phone
(303) 521-5701

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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