| NPI | 1407258411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ANTHONY CASTILLO Owner/Dentist 719-268-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 8092) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |