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Organization
MARK G. CASTOR
Active
Organization
MARK G. CASTOR
Active
Other names
Castor Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA HAWKINSON (OFFICE MANAGER)
(919) 467-6111
Entity
Organization
Contact information
Practice address
140 PRESTON EXECUTIVE DRIVE, SUITE 200, CARY, NC 27513
(919) 467-6111
(919) 380-0088
Mailing address
140 PRESTON EXECUTIVE DRIVE, SUITE 200, CARY, NC 27513
(919) 467-6111
(919) 380-0088
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991437
—
NC
Enumeration date
02/07/2008
Last updated
06/11/2008
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