Organization
CASTLE DENTAL GROUP, PC
Active
Parent organization
CASTLE DENTAL GROUP, PC
Other names
Aspen Sleep Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASTLE DENTAL GROUP, PC
Authorized official
DR. MARK J CASTLE DDS (CEO)
(928) 525-9263
Entity
Organization
Contact information
Practice address
2700 S WOODLANDS VILLAGE BLVD STE 390, FLAGSTAFF, AZ 86001-2981
(928) 226-7654
(928) 226-7331
Mailing address
751 CELILO, FLAGSTAFF, AZ 86001-4007
(928) 525-9263
(928) 525-9338
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
2897
AZ
332BC3200X
Customized Equipment (DME)
Primary
2897
AZ
Other
Enumeration date
02/20/2012
Last updated
04/03/2012
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