| Professional Dental Care Of Central Colorado I Pllc | |
|
13097 S Parker Rd Unit A Parker CO 80134-7447 | |
| (303) 841-0549 | |
| (303) 841-0538 |
| Full Name | Professional Dental Care Of Central Colorado I Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13097 S Parker Rd Unit A, Parker, Colorado |
| Authorized Official Name and Position | Cary Lacouture (OWNER) |
| Authorized Official Contact | 3038410549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Care Of Central Colorado I Pllc 10940 S Parker Rd Ste 121 Parker CO 80134-7440 Ph: (303) 841-0549 | Professional Dental Care Of Central Colorado I Pllc 13097 S Parker Rd Unit A Parker CO 80134-7447 Ph: (303) 841-0549 |
| NPI Number | 1790394138 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790394138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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