| Shadow Rock Dentist Llc | |
|
734 Wilcox St #200 Castle Rock CO 80104-1709 | |
| (303) 257-8237 | |
| (303) 814-3761 |
| Full Name | Shadow Rock Dentist Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 734 Wilcox St, Castle Rock, Colorado |
| Authorized Official Name and Position | Vikash Kanchanlal (PRESIDENT) |
| Authorized Official Contact | 3032578237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadow Rock Dentist Llc 734 Wilcox St #200 Castle Rock CO 80104-1709 Ph: (303) 257-8237 | Shadow Rock Dentist Llc 734 Wilcox St #200 Castle Rock CO 80104-1709 Ph: (303) 257-8237 |
| NPI Number | 1346509429 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 05/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346509429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Colorado) | Primary |
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