Prairie Hawk Dental Pllc
NPI #1942544507 in Castle Rock, Colorado
Provider Information
- NPI Number
- 1942544507
- Entity Type
- Organization
- Organization Name
- Prairie Hawk Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 20, 2012
- Last Updated
- Aug 7, 2013
Practice Location
- Address
- 3993 LIMELIGHT AVE.
- Address 2
- UNIT E
- City
- Castle Rock
- State
- Colorado
- ZIP Code
- 80109
- Phone
- (720) 515-1801
Authorized Official
- Name
- DR. AARON PIERCE GOODMAN, D.D.S.
- Title
- PRESIDENT
- Phone
- (720) 515-1801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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