| NPI | 1801058201 |
|---|---|
| Doing Business As | SHADOW ROCK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | VIKASH KANCHANLAL President 303-257-8237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |