| Dental Specialty Center Of Falcon Llc | |
|
7520 Bierstadt Hts Ste 125 Falcon CO 80831-6177 | |
| (719) 654-0105 | |
| (719) 218-9013 |
| Full Name | Dental Specialty Center Of Falcon Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7520 Bierstadt Hts Ste 125, Falcon, Colorado |
| Authorized Official Name and Position | Andre Shook (OWNER/OPERATOR) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Specialty Center Of Falcon Llc 7520 Bierstadt Hts Ste 125 Falcon CO 80831-6177 Ph: (719) 654-0105 | Dental Specialty Center Of Falcon Llc 7520 Bierstadt Hts Ste 125 Falcon CO 80831-6177 Ph: (719) 654-0105 |
| NPI Number | 1750077798 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750077798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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