Zastrow Dentistry, LLC

NPI #1649631359 in Edwards, Colorado

Provider Information

NPI Number: 1649631359
Entity Type: Organization
Organization Name: Zastrow Dentistry, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 9, 2016
Last Updated: Mar 9, 2016

Practice Location

Address: 275 MAIN ST
Address 2: #203
City: Edwards
State: Colorado
ZIP Code: 81632-7805
Phone: (970) 766-7676

Authorized Official

Name: DR. RYAN G ZASTROW, DDS
Title: MEMBER/OWNER
Phone: (970) 766-7676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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