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SANDRA CASTILLO

>> Dentist >> Dental Providers

Registrant NPI Number: 1245636133

Individual Registrant:
 SANDRA  CASTILLO 
Gender: F
Sole Proprietor

Location and contact information for practice:
17103 N BAY RD APT A208 SUNNY ISLES BEACH, FL 33160-3981 US
Tel: 305-949-5252  Fax: 305-949-5011

Contact information for business:
17103 N BAY RD APT A208 SUNNY ISLES BEACH, FL 33160-3981 US
Tel: 305-949-5252  Fax: 305-949-5011

Registration Information:
NPI: 1245636133
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
FLDN20757

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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