NPI | 1710496278 |
---|---|
Doing Business As | CASTLE ROCK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | LEE SCOTT BRODY Owner 303-688-2229 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
Enumeration Date | 2017-09-27 |
Last Update Date | 2022-07-21 |