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DR. ERIC A CASTOR DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1831355122

Individual Registrant:
DR. ERIC A CASTOR DMD
Gender: M
Sole Proprietor

Location and contact information for practice:
121 N HOSPITAL DR  LAKELAND, GA 31635-1314 US
Tel: 229-482-1100  Fax: 229-482-1103

Contact information for business:
121 N HOSPITAL DR  LAKELAND, GA 31635-1314 US
Tel: 229-482-1100  Fax: 229-482-1103

Registration Information:
NPI: 1831355122
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
GADN013346

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
426342256AGA05




HEALTH CARE JOBS GA - Page 1



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