Organization
CASTLE ROCK COSMETIC AND FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BARES D.D.S (OWNER)
(720) 733-1210
Entity
Organization
Contact information
Practice address
4625 TRAIL BOSS DR, CASTLE ROCK, CO 80104-2803
(720) 733-1210
(720) 733-1214
Mailing address
4625 TRAIL BOSS DR, CASTLE ROCK, CO 80104-2803
(720) 733-1210
(720) 733-1214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9200
CO
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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