Organization
PROFESSIONAL DENTAL CARE OF CENTRAL COLORADO I PLLC
Active
Parent organization
SSUN HEALTH, LLC
Other names
Creekside Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSUN HEALTH, LLC
Authorized official
CARY LACOUTURE DDS (OWNER)
(303) 841-0549
Entity
Organization
Contact information
Practice address
13097 S PARKER RD UNIT A, PARKER, CO 80134-7447
(303) 841-0549
(303) 841-0538
Mailing address
10940 S PARKER RD STE 121, PARKER, CO 80134-7440
(303) 841-0549
(303) 841-0538
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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