Organization
PEDIATRIC DENTICARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURVI V SHAH MS NUTRITION,DDS,PD (PRESIDENT)
(303) 663-3388
Entity
Organization
Contact information
Practice address
3750 DACORO LN STE 120, CASTLE ROCK, CO 80109-2502
(303) 663-3388
(303) 221-1264
Mailing address
3750 DACORO LN STE 120, CASTLE ROCK, CO 80109-2502
(303) 663-3388
(303) 221-1264
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9060
CO
Other
Enumeration date
05/03/2007
Last updated
08/05/2022
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