Provider Demographics
NPI:1316682230
Name:GARCIA-CASTRO, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:GARCIA-CASTRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15340 E EVANS AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-1040
Mailing Address - Country:US
Mailing Address - Phone:720-385-8765
Mailing Address - Fax:
Practice Address - Street 1:13065 E17TH AVE UNIVERSITY COLORADO
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:303-724-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant