| Deer Creek Dental Llc | |
|
425 W Rockrimmon Blvd Suite 201 Colorado Springs CO 80919-1774 | |
| (719) 268-9030 | |
| Not Available |
| Full Name | Deer Creek Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 425 W Rockrimmon Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Steven Anthony Castillo (OWNER/DENTIST) |
| Authorized Official Contact | 7192689030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Creek Dental Llc 425 W Rockrimmon Blvd Suite 201 Colorado Springs CO 80919-1774 Ph: (719) 268-9030 | Deer Creek Dental Llc 425 W Rockrimmon Blvd Suite 201 Colorado Springs CO 80919-1774 Ph: (719) 268-9030 |
| NPI Number | 1407258411 |
|---|---|
| Provider Enumeration Date | 09/22/2014 |
| Last Update Date | 09/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407258411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8092 (Colorado) | Primary |
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