Shadow Rock Dentist LLC

NPI #1346509429 in Castle Rock, Colorado

Provider Information

NPI Number
1346509429
Entity Type
Organization
Organization Name
Shadow Rock Dentist LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 10, 2012
Last Updated
May 10, 2012

Practice Location

Address
734 WILCOX ST
Address 2
#200
ZIP Code
80104-1709
Phone
(303) 257-8237

Authorized Official

Name
DR. VIKASH KANCHANLAL, D.M.D.
Title
PRESIDENT
Phone
(303) 257-8237

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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