Organization
SD & JD, LLC
Active
Other names
Peak Laser & Tattoo Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DIVITO (OWNER)
(970) 988-1446
Entity
Organization
Contact information
Practice address
5916 BAY HILL COURT, WINDSOR, CO 80528
(970) 988-1446
Mailing address
5916 BAY HILL COURT, WINDSOR, CO 80528
(970) 988-1446
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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