| Castle Rock Family Dental | |
|
1025 S Perry St Ste 105 Castle Rock CO 80104-3365 | |
| (303) 688-2229 | |
| Not Available |
| Full Name | Castle Rock Family Dental |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 1025 S Perry St Ste 105, Castle Rock, Colorado |
| Authorized Official Name and Position | Lee Scott Brody (OWNER) |
| Authorized Official Contact | 3036882229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Rock Family Dental 1025 S Perry St Ste 105 Castle Rock CO 80104-3365 Ph: (303) 688-2229 | Castle Rock Family Dental 1025 S Perry St Ste 105 Castle Rock CO 80104-3365 Ph: (303) 688-2229 |
| NPI Number | 1710496278 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710496278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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