| Prairie Hawk Orthodontics, Pc | |
|
3750 Dacoro Ln Suite 145 Castle Rock CO 80109-2501 | |
| (720) 733-0353 | |
| (720) 733-0360 |
| Full Name | Prairie Hawk Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3750 Dacoro Ln, Castle Rock, Colorado |
| Authorized Official Name and Position | Theodore William Struhs (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 7207330353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Hawk Orthodontics, Pc 3750 Dacoro Ln Suite 145 Castle Rock CO 80109-2501 Ph: (720) 733-0353 | Prairie Hawk Orthodontics, Pc 3750 Dacoro Ln Suite 145 Castle Rock CO 80109-2501 Ph: (720) 733-0353 |
| NPI Number | 1851538938 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 01/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851538938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DEN-8910 (Colorado) | Primary |
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