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Organization
MARIO J CASTELLANOS DDS
Active
Organization
MARIO J CASTELLANOS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO JAVIER CASTELLANOS DDS (OWNER)
(909) 822-6200
Entity
Organization
Contact information
Practice address
9113 FOOTHILL BLVD STE 210, RANCHO CUCAMONGA, CA 91730-3452
(909) 822-6200
Mailing address
9113 FOOTHILL BLVD STE 210, RANCHO CUCAMONGA, CA 91730-3452
(909) 822-6200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33258
CA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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