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Organization

PROFESSIONAL DENTAL CARE OF CENTRAL COLORADO II,PLLC

Active
Parent organization
SSUN HEALTH, LLC
Other names
Burning Tree Family Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
SSUN HEALTH, LLC
Authorized official
CARY LACOUTURE DDS (OWNER)
(303) 688-2515
Entity
Organization

Contact information

Practice address
7601 BURNING TREE DR STE 200, FRANKTOWN, CO 80116-9523
(303) 688-2515
(303) 688-2589
Mailing address
10940 S PARKER RD # 121, PARKER, CO 80134-7440
(303) 688-2515
(303) 688-2589

Taxonomy

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

Other

Enumeration date
07/31/2020
Last updated
07/31/2020
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