# ERIC R.CASTILLO DDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Castillo Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245612936
- **Authorized official:** DR. ERIC R. CASTILLO DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (580) 223-7779

## Contact information

- **Practice address:** 1110 WALNUT DR, ARDMORE, OK 73401-2353
- **Practice address phone:** (580) 223-7779
- **Practice address fax:** (580) 223-7789
- **Mailing address:** 1110 WALNUT DR, ARDMORE, OK 73401-2353
- **Mailing address phone:** (580) 223-7779
- **Mailing address fax:** (580) 223-7789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5652 | OK | Yes |

## Other

- **Enumeration date:** 06/18/2015
- **Last updated:** 06/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200021060A | — | OK |