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DR. SAMUEL L. CASTILLO DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1235225228

Individual Registrant:
DR. SAMUEL L. CASTILLO DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3418 HIGHWAY 17  TOCCOA, GA 30577-8865 US
Tel: 706-886-4256  Fax: 706-886-6439

Contact information for business:
PO BOX 279  EASTANOLLEE, GA 30538-0279 US
Tel: 706-886-4256  Fax: 706-886-6439

Registration Information:
NPI: 1235225228
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
GA10718

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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