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
- City
- Castle Rock
- State
- Colorado
- 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 Practice — General Practice |
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| Jeffrey P Scheich, DDS | |
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