Organization
SHADOW ROCK DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKASH KANCHANLAL D.M.D. (PRESIDENT)
(303) 257-8237
Entity
Organization
Contact information
Practice address
734 WILCOX ST, #200, CASTLE ROCK, CO 80104-1709
(303) 257-8237
(303) 814-3761
Mailing address
734 WILCOX ST, #200, CASTLE ROCK, CO 80104-1709
(303) 257-8237
(303) 814-3761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CO
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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