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Organization

PROFESSIONAL DENTAL CARE OF NORTHERN COLORADO II

Active
Parent organization
SSUN HEALTH, LLC
Other names
NorthEastern Dental Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
SSUN HEALTH, LLC
Authorized official
CARY LACOUTURE DDS (OWNER)
(303) 521-5701
Entity
Organization

Contact information

Practice address
112 DELMAR ST, STERLING, CO 80751-4138
(970) 522-5535
Mailing address
10233 S PARKER RD STE 107, PARKER, CO 80134-9314
(303) 887-8848

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/23/2020
Last updated
10/23/2020
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