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Organization

CASTLE ROCK ENDODONTICS, PLLC

Active
Other names
Evolution Endodontics
Organization subpart
No

Provider details

NPI number
Authorized official
JAKE MINNICH (BUSINESS DIRECTOR)
(720) 221-7774
Entity
Organization

Contact information

Practice address
753 MALETA LN STE 201, CASTLE ROCK, CO 80108-7609
(720) 221-7774
(720) 221-4594
Mailing address
753 MALETA LN STE 201, CASTLE ROCK, CO 80108-7609
(720) 221-7774
(720) 221-4594

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
11/21/2017
Last updated
11/21/2017
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