# AJK DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285475863
- **Authorized official:** ANDREW KASKIE DDS (OWNER DENTIST)
- **Authorized official phone:** (317) 385-3305

## Contact information

- **Practice address:** 412 EDISON ST, BRUSH, CO 80723-2130
- **Practice address phone:** (317) 385-3305
- **Mailing address:** PO BOX 563, BRUSH, CO 80723-0563
- **Mailing address phone:** (317) 385-3305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2024
- **Last updated:** 06/05/2024