| NPI | 1033708235 |
|---|---|
| Doing Business As | DIVINE DENTAL CENTER |
| 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 |