| Promenade Dentist Office And Orthodontics, Llp | |
|
5715 Atrium Drive Suite 130 Castle Rock CO 80108-1927 | |
| (720) 805-2425 | |
| Not Available |
| Full Name | Promenade Dentist Office And Orthodontics, Llp |
|---|---|
| Speciality | Dentist |
| Location | 5715 Atrium Drive, Castle Rock, Colorado |
| Authorized Official Name and Position | Jason D Conrad (OWNER) |
| Authorized Official Contact | 7208052425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promenade Dentist Office And Orthodontics, Llp Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Promenade Dentist Office And Orthodontics, Llp 5715 Atrium Drive Suite 130 Castle Rock CO 80108-1927 Ph: (720) 805-2425 |
| NPI Number | 1720748999 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 12/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720748999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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