Organization
DENTAL SPECIALTY CENTER OF FALCON LLC
Active
Other names
Dental Specialty Center of Falcon
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE SHOOK (OWNER/OPERATOR)
(972) 869-3789
Entity
Organization
Contact information
Practice address
7520 BIERSTADT HTS STE 125, FALCON, CO 80831-6177
(719) 654-0105
(719) 218-9013
Mailing address
7520 BIERSTADT HTS STE 125, FALCON, CO 80831-6177
(719) 654-0105
(719) 218-9013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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