GLEN CASTOR, LD

Denturist

Active Individual
NPI: 1013151083

Practice Address

306 12TH AVE S
Nampa, ID 83651

Phone: (208) 466-4205

Specialties

Specialty Code Primary License
Denturist 122400000X Yes LD-53 (ID)

Frequently Asked Questions

NPI 1013151083 is the National Provider Identifier for GLEN CASTOR, LD, a Denturist provider located in Nampa, ID. This NPI was enumerated on April 21, 2009.
GLEN CASTOR, LD practices at 306 12TH AVE S, Nampa, ID 83651.

Quick Facts

NPI
1013151083
Type
Individual
Enumerated
Apr 21, 2009
Last Updated
Apr 21, 2009

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