Professional Dental Care of Central Co Iv, Pllc

NPI #1477122018 in Erie, Colorado

Provider Information

NPI Number: 1477122018
Entity Type: Organization
Organization Name: Professional Dental Care of Central Co Iv, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: PROFESSIONAL DENTAL CARE PLLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 18, 2021
Last Updated: Jun 18, 2021

Practice Location

Address: 3200 VILLAGE VISTA DR
City: Erie
State: Colorado
ZIP Code: 80516-2595
Phone: (303) 962-6400

Authorized Official

Name: CARY LACOUTURE, DDS
Title: CLINICAL DIRECTOR
Phone: (303) 841-0549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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