IndividualActive
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
Dental Providers
Practice location
306 12th Ave S
Nampa, ID 83651-4246
Phone: (208) 466-4205
Approximate (ZIP-level) locationGet directions
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.