Professional Dental Care Of Northern Colorado I Pllc | |
13097 S Parker Rd Parker CO 80134-7447 | |
(303) 521-5701 | |
Not Available |
Full Name | Professional Dental Care Of Northern Colorado I Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 13097 S Parker Rd, Parker, Colorado |
Authorized Official Name and Position | Cary Lacouture (OWNER) |
Authorized Official Contact | 3035215701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Professional Dental Care Of Northern Colorado I Pllc 13097 S Parker Rd Parker CO 80134-7447 Ph: (303) 521-5701 | Professional Dental Care Of Northern Colorado I Pllc 13097 S Parker Rd Parker CO 80134-7447 Ph: (303) 521-5701 |
NPI Number | 1114537735 |
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Provider Enumeration Date | 08/07/2020 |
Last Update Date | 08/07/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114537735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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