| NPI | 1477151173 |
|---|---|
| Doing Business As | DEVINE DENTAL OF LAS VEGAS |
| Doing Business As | DIVINE DENTAL OF SANTA FE |
| Entity Type | Organization |
| Authorized Contact | CARY LACOUTURE Owner 303-521-5701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |