Glen M Castor, LD

NPI #1013151083 in Nampa, Idaho

Provider Information

NPI Number: 1013151083
Entity Type: Individual
Name: Glen M Castor, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: LD
Enumeration Date: Apr 21, 2009
Last Updated: Apr 21, 2009

Practice Location

Address: 306 12TH AVE S
City: Nampa
State: Idaho
ZIP Code: 83651-4246
Phone: (208) 466-4205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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