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1285264242
PROFESSIONAL DENTAL CARE PLLC
SANTA FE, NM
NPI
1285264242
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Entity Type
Organization
Authorized Contact
FRED ANTHONY LACOURT
Chief Dental Officer
414-303-7484
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2020-01-18
Last Update Date
2020-01-18
Business Address
PROFESSIONAL DENTAL CARE PLLC
550 SAINT MICHAELS DR STE 2
SANTA FE, NM 87505-7604
Phone number: 505-216-2364
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Mailing Address
PROFESSIONAL DENTAL CARE PLLC
10940 S PARKER RD
PARKER, CO 80134-7440
Phone number: 515-371-3782
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