Organization
WAYNE W CASTLE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE WILLIAM CASTLE DDS (PRESIDENT OWNER)
(303) 772-8020
Entity
Organization
Contact information
Practice address
1361 FRANCIS ST, STE 202, LONGMONT, CO 80501-2576
(303) 772-8020
(303) 772-1525
Mailing address
1361 FRANCIS ST, STE 202, LONGMONT, CO 80501-2576
(303) 772-8020
(303) 772-1525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
H-D-1-00630
CO
Other
Enumeration date
08/11/2005
Last updated
08/22/2020
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