Organization
JEWELL DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN ANTHONY CASTILLO (MANAGING MEMBER)
(303) 922-1103
Entity
Organization
Contact information
Practice address
6565 W JEWELL AVE, SUITE 9, LAKEWOOD, CO 80232-7187
(303) 922-1103
Mailing address
6565 W JEWELL AVE, SUITE 9, LAKEWOOD, CO 80232-7187
(303) 922-1103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8092
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29136831
—
CO
Enumeration date
10/06/2016
Last updated
10/06/2016
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