CASTLE ROCK ORAL AND MAXILLOFACIAL SURGERY, PC
Medical Practice at Meadows Blvd, Castle Rock, CO

License number
Colorado 21512
Category
Dentist
Type
Oral and Maxillofacial Surgery
License number
Colorado 10214
Category
Dentist
Type
Oral and Maxillofacial Surgery
License number
Colorado 10214
Category
Medical Practice
Type
Oral & Maxillofacial Surgery
License number
Colorado 21512
Category
Medical Practice
Type
Oral & Maxillofacial Surgery
Owner
Name: DR. KRISTOPHER LARKIN HART DDS
Title: PRESIDENT
Phone: (254) 449-6581
Address
Address
2352 Meadows Blvd, Castle Rock, CO 80109
National Provider ID: 1508146630
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Castle Rock Oral and Maxillofacial Surgery, PC

2352 Mdw Blvd SUITE 205, Castle Rock, CO 80109

Registration:
May 6, 2011
State ID:
20111269225
Business type:
Corporation
Expiration:
Perpetual
Agent:
Peter B. Goldstein,Gubbels Law Office, Castle Rock, CO 80104 (Physical)

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