# BITTERSWEET PROF.LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BITTERSWEET PROF.LLC
- **Other names:** Black Mountain Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871973776
- **Legal business name:** BITTERSWEET PROF.LLC
- **Authorized official:** DR. ANDREEA TOROK DDS (DENTIST/OWNER)
- **Authorized official phone:** (720) 244-7172

## Contact information

- **Practice address:** 1540 S HOLLY ST, DENVER, CO 80222-3978
- **Practice address phone:** (303) 757-5885
- **Mailing address:** 1540 S HOLLY ST, DENVER, CO 80222-3978
- **Mailing address phone:** (303) 757-5885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 9926 | CO | Yes |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 06/04/2015