| NPI | 1831500875 |
|---|---|
| Doing Business As | CASTLE ROCK DENTAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM C MAUTHE Owner 920-921-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |