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 |