Promenade Dentist Office and Orthodontics, LLP

NPI #1720748999 in Castle Rock, Colorado

Provider Information

NPI Number: 1720748999
Entity Type: Organization
Organization Name: Promenade Dentist Office and Orthodontics, LLP
Primary Specialty: Dentist
Enumeration Date: Dec 29, 2021
Last Updated: Dec 29, 2021

Practice Location

Address: 5715 ATRIUM DRIVE
Address 2: SUITE 130
City: Castle Rock
State: Colorado
ZIP Code: 80108-1927
Phone: (720) 805-2425

Authorized Official

Name: JASON D CONRAD, DDS
Title: OWNER
Phone: (720) 805-2425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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