Organization
PROMENADE DENTIST OFFICE AND ORTHODONTICS, LLP
Active
Other names
Promenade Dentist Office and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JASON D CONRAD DDS (OWNER)
(720) 805-2425
Entity
Organization
Contact information
Practice address
5715 ATRIUM DRIVE, SUITE 130, CASTLE ROCK, CO 80108-1927
(720) 805-2425
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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