| Evolution Endodontics | |
|
753 Maleta Ln Ste 201 Castle Rock CO 80108-7609 | |
| (720) 221-7774 | |
| (720) 221-4594 |
| Full Name | Evolution Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 753 Maleta Ln Ste 201, Castle Rock, Colorado |
| Authorized Official Name and Position | Jake Minnich (BUSINESS DIRECTOR) |
| Authorized Official Contact | 7202217774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Endodontics 753 Maleta Ln Ste 201 Castle Rock CO 80108-7609 Ph: (720) 221-7774 | Evolution Endodontics 753 Maleta Ln Ste 201 Castle Rock CO 80108-7609 Ph: (720) 221-7774 |
| NPI Number | 1134633563 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 11/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134633563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Primary |
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