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KEREN ELIZABETH CASTELLUCCI D.M.D.

Pediatric Dentistry >> Dentist >> Dental Providers

Registrant NPI Number: 1558711655

Individual Registrant:
 KEREN ELIZABETH CASTELLUCCI D.M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
621 SEBASTIAN BLVD STE C  SEBASTIAN, FL 32958-4345 US
Tel: 352-483-9183  Fax: --

Contact information for business:
1660 APACHE TRL  MAITLAND, FL 32751-4906 US
Tel: 407-383-6738  Fax: --

Registration Information:
NPI: 1558711655
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0221XDental Providers
Dentist
Pediatric Dentistry
FL21112

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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