| NPI | 1356343164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE WILLIAM CASTLE President Owner 303-772-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO H-d-1-00630) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-08-22 |