| Castle Rock Smiles Pediatric Dentistry | |
|
753 Maleta Ln Ste 104 Castle Rock CO 80108-7605 | |
| (303) 660-5373 | |
| (303) 660-5374 |
| Full Name | Castle Rock Smiles Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 753 Maleta Ln Ste 104, Castle Rock, Colorado |
| Authorized Official Name and Position | Layne P Benzley (PEDIATRIC DENTIST) |
| Authorized Official Contact | 3036605373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Rock Smiles Pediatric Dentistry 753 Maleta Ln Ste 104 Castle Rock CO 80108-7605 Ph: (303) 660-5373 | Castle Rock Smiles Pediatric Dentistry 753 Maleta Ln Ste 104 Castle Rock CO 80108-7605 Ph: (303) 660-5373 |
| NPI Number | 1528398344 |
|---|---|
| Provider Enumeration Date | 12/29/2009 |
| Last Update Date | 12/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528398344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9875 (Colorado) | Primary |
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