PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO III

LAS VEGAS, NM
NPI1033708235
Doing Business AsDIVINE DENTAL CENTER
Entity TypeOrganization
Authorized ContactCARY LACOUTURE
Clinical Manager
303-521-5701
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2021-01-12
Last Update Date2021-01-12
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
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