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Organization
MARK G CASTOR DMD LL PA
Active
Organization
MARK G CASTOR DMD LL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CASTOR (PRESIDENT)
(336) 824-8300
Entity
Organization
Contact information
Practice address
153 BRADY STREET EXT, RAMSEUR, NC 27316-8701
(336) 824-8300
(336) 824-6556
Mailing address
153 BRADY STREET EXT, RAMSEUR, NC 27316-8701
(336) 824-8300
(336) 824-6556
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6103
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991437
—
NC
Enumeration date
12/13/2011
Last updated
12/13/2011
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