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Glen Castor, LD — NPI 1013151083, Nampa, ID | NPI Central

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NPI 1013151083

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Glen Castor, LD

NPI 1013151083 · Denturist · Nampa, ID

Provider details

NPI number: 1013151083
Entity type: Individual
Primary specialty: DenturistDental Providers
Credential: LD
Sex: Male
Sole proprietor: Yes
License: LD-53 (ID)

Specialties & taxonomies

DenturistPrimary122400000XLicense LD-53 (ID)
Dental Providers

Practice location

306 12th Ave S

Nampa, ID 83651-4246

Phone: (208) 466-4205

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

306 12th Ave S

Nampa, ID 83651-4246

Registry dates

Enumerated: 2009-04-21
Last updated: 2009-04-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.