Organization
BITTERSWEET PROF.LLC
Active
Parent organization
BITTERSWEET PROF.LLC
Other names
Black Mountain Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
BITTERSWEET PROF.LLC
Authorized official
DR. ANDREEA TOROK DDS (DENTIST/OWNER)
(720) 244-7172
Entity
Organization
Contact information
Practice address
1540 S HOLLY ST, DENVER, CO 80222-3978
(303) 757-5885
Mailing address
1540 S HOLLY ST, DENVER, CO 80222-3978
(303) 757-5885
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9926
CO
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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