PARKER THEODORE KASTELIC

TRINIDAD, CO
NPI1104494632
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CO  00204748)
Enumeration Date2021-06-11
Last Update Date2021-06-11
Business Address
PARKER THEODORE KASTELIC DMD
2124 FREEDOM RD
TRINIDAD, CO 81082-1210
Phone number: 719-422-5696
Mailing Address
PARKER THEODORE KASTELIC DMD
403 N COMMERCIAL ST APT 201
TRINIDAD, CO 81082-1903
Phone number: 920-838-2258