Organization
SANAM PC
Active
Other names
Shadow Rock Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKASH KANCHANLAL DMD (PRESIDENT)
(303) 257-8237
Entity
Organization
Contact information
Practice address
734 WILCOX ST # 2, CASTLE ROCK, CO 80104-1741
(303) 257-8237
(303) 814-3761
Mailing address
734 WILCOX ST # 2, CASTLE ROCK, CO 80104-1741
(303) 257-8237
(303) 814-3761
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CO
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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