Organization · Type 2 NPI
Luis Castillo Professional Dental Corporation
Dental Clinic/Center · Fresno, CA
NPI number
1700305802
Active
Practice location
5359 N Fresno St Ste 110F
Fresno, CA 93710-6864
Fax (559) 221-0302
Other practice locations
- 5359 N Fresno St Ste 110F, Fresno, CA 93710-6864 · (559) 221-0302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 45659 (CA) |
Dental Clinic/Center: Definition to come...
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About NPI 1700305802
Luis Castillo Professional Dental Corporation's National Provider Identifier is 1700305802, issued on Sep 11, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fresno, CA. The record was last updated on Mar 17, 2018.