Organization
ZASTROW DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN G ZASTROW DDS (MEMBER/OWNER)
(970) 766-7676
Entity
Organization
Contact information
Practice address
275 MAIN ST, #203, EDWARDS, CO 81632-7805
(970) 766-7676
(970) 766-7680
Mailing address
275 MAIN ST, #203, EDWARDS, CO 81632-7805
(970) 766-7676
(970) 766-7680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
464
CO
1223G0001X
General Practice Dentistry
Primary
8154
CO
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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