Organization
PROFESSIONAL DENTAL CARE OF CENTRAL CO IV, PLLC
Active
Parent organization
PROFESSIONAL DENTAL CARE PLLC
Other names
Larkridge Family & Cosmetic Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL DENTAL CARE PLLC
Authorized official
CARY LACOUTURE DDS (CLINICAL DIRECTOR)
(303) 841-0549
Entity
Organization
Contact information
Practice address
3200 VILLAGE VISTA DR, ERIE, CO 80516-2595
(303) 962-6400
Mailing address
10233 S PARKER RD STE 107, PARKER, CO 80134-9314
(303) 521-5701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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