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1033708235
PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO III
LAS VEGAS, NM
NPI
1033708235
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Entity Type
Organization
Authorized Contact
CARY LACOUTURE
Clinical Manager
303-521-5701
Organization Subpart ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2021-01-12
Last Update Date
2021-01-12
Business Address
PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO III
2500 7TH ST STE H
LAS VEGAS, NM 87701-4947
Phone number: 505-718-9156
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Mailing Address
PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO III
10233 S PARKER RD STE 107
PARKER, CO 80134-9314
Phone number: 303-521-5701
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