Organization
BACHOUR DENTAL CORPORATION
Active
Other names
Castle Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOUNZER BACHOUR DMD (CFO)
(209) 381-2005
Entity
Organization
Contact information
Practice address
3605 HOSPITAL RD, SUITE A, ATWATER, CA 95301-5173
(209) 381-2005
(209) 381-2036
Mailing address
3605 HOSPITAL RD, SUITE A, ATWATER, CA 95301-5173
(209) 381-2005
(209) 381-2036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92132-01
DENTI-CAL
CA
Enumeration date
04/02/2007
Last updated
08/22/2020
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