Individual
ELSA CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4107B S. FEDERAL BLVD, ENGLEWOOD, CO 80110-1198
(303) 501-6487
Mailing address
9831 FOXHILL CIR, HIGHLANDS RANCH, CO 80129-4320
(720) 344-8541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7754
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02077543
—
CO
Enumeration date
03/31/2006
Last updated
08/30/2012
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