| Castle Dental Group | |
|
3605 Hospital Rd Suite A Atwater CA 95301-5173 | |
| (209) 381-2005 | |
| (209) 381-2036 |
| Full Name | Castle Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3605 Hospital Rd, Atwater, California |
| Authorized Official Name and Position | Mounzer Bachour (CFO) |
| Authorized Official Contact | 2093812005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Dental Group 3605 Hospital Rd Suite A Atwater CA 95301-5173 Ph: (209) 381-2005 | Castle Dental Group 3605 Hospital Rd Suite A Atwater CA 95301-5173 Ph: (209) 381-2005 |
| NPI Number | 1588784458 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588784458 | NPI | - | NPPES |
| G92132-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48292 (California) | Primary |
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