person
Glen M Castor, LD
Denturist in Nampa, Idaho
NPI 1013151083

Glen M Castor is a Denturist based in Nampa, ID. Glen M Castor practices in Nampa, ID and has the professional credentials of LD. The NPI Number for Glen M Castor is 1013151083 and holds a License No. LD-53 (Idaho).

The current practice location address for Glen M Castor is 306 12Th Ave S, Nampa, ID and can be reached out via phone at 208-466-4205.

Location: 306 12Th Ave S, Nampa, ID, 83651-4246
person
Provider Profile Details
NPI Number
1013151083
Provider Name
Glen M Castor
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
306 12Th Ave S, Nampa, ID, 83651-4246
Phone Number
208-466-4205
Fax Number
Provider Enumeration Date
04/21/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
306 12Th Ave S
City
State
Zip
83651-4246
Phone Number
208-466-4205
Fax Number
person
Provider Business Mailing Address Details
Address
306 12Th Ave S
City
State
Zip
83651-4246
Phone Number
208-466-4205
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
LD-53 (Idaho)
Definition
Definition to come.
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