| Prairie Hawk Dental Pllc | |
|
3993 Limelight Ave. Unit E Castle Rock CO 80109 | |
| (720) 515-1801 | |
| Not Available |
| Full Name | Prairie Hawk Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3993 Limelight Ave., Castle Rock, Colorado |
| Authorized Official Name and Position | Aaron Pierce Goodman (PRESIDENT) |
| Authorized Official Contact | 7205151801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Hawk Dental Pllc 3993 Limelight Ave. Unit E Castle Rock CO 80109 Ph: (720) 515-1801 | Prairie Hawk Dental Pllc 3993 Limelight Ave. Unit E Castle Rock CO 80109 Ph: (720) 515-1801 |
| NPI Number | 1942544507 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 08/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942544507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10402 (Colorado) | Primary |
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