| Castle Rock Orthodontics | |
|
718 Maleta Ln Ste 200 Castle Rock CO 80108-7602 | |
| (719) 596-3113 | |
| Not Available |
| Full Name | Castle Rock Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 718 Maleta Ln Ste 200, Castle Rock, Colorado |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Rock Orthodontics 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Castle Rock Orthodontics 718 Maleta Ln Ste 200 Castle Rock CO 80108-7602 Ph: (719) 596-3113 |
| NPI Number | 1407590854 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407590854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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