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Organization
JOSE MARIANO CASTRO D D S INC
Active
Organization
JOSE MARIANO CASTRO D D S INC
Active
Other names
smile needs dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MARIANO CASTRO (OWNER)
(909) 466-1245
Entity
Organization
Contact information
Practice address
9113 FOOTHILL BLVD STE 210, RANCHO CUCAMONGA, CA 91730-3452
(909) 466-1245
Mailing address
9113 FOOTHILL BLVD STE 210, RANCHO CUCAMONGA, CA 91730-3452
(909) 466-1245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43911
CA
332BC3200X
Customized Equipment (DME)
43911
CA
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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