Organization
PRAIRIE HAWK DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON PIERCE GOODMAN D.D.S. (PRESIDENT)
(720) 515-1801
Entity
Organization
Contact information
Practice address
3993 LIMELIGHT AVE., UNIT E, CASTLE ROCK, CO 80109
(720) 515-1801
Mailing address
3993 LIMELIGHT AVE., UNIT E, CASTLE ROCK, CO 80109
(720) 515-1801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10402
CO
Other
Enumeration date
11/20/2012
Last updated
08/07/2013
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