Professional Dental Care of Central Colorado Ii,pllc

NPI #1942819362 in Franktown, Colorado

Provider Information

NPI Number
1942819362
Entity Type
Organization
Organization Name
Professional Dental Care of Central Colorado Ii,pllc
Subpart
Yes (part of a larger organization)
Parent Organization
SSUN HEALTH, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 31, 2020
Last Updated
Jul 31, 2020

Practice Location

Address
7601 BURNING TREE DR STE 200
ZIP Code
80116-9523
Phone
(303) 688-2515

Authorized Official

Name
CARY LACOUTURE, DDS
Title
OWNER
Phone
(303) 688-2515

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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