Organization
CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC
Active
Other names
Castle Rock Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTOPHER LARKIN HART DDS (PRESIDENT)
(254) 449-6581
Entity
Organization
Contact information
Practice address
2352 MEADOWS BLVD, 205, CASTLE ROCK, CO 80109-8406
(303) 663-7890
(888) 765-9130
Mailing address
2352 MEADOWS BLVD, 205, CASTLE ROCK, CO 80109-8406
(303) 663-7890
(888) 765-9130
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10214
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
21512
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
10214
CO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
21512
TX
Other
Enumeration date
08/20/2011
Last updated
04/08/2024
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