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Organization
SMILENEEDS DENTAL
Active
Organization
SMILENEEDS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANO CASTRO DDS (OWNER)
(906) 466-1245
Entity
Organization
Contact information
Practice address
1183 E FOOTHILL BLVD, SUITE150, UPLAND, CA 91786-4079
(909) 466-1245
(909) 912-8245
Mailing address
1183 E FOOTHILL BLVD, SUITE150, UPLAND, CA 91786-4079
(909) 466-1245
(909) 912-8245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D43911-01
—
CA
Enumeration date
08/14/2007
Last updated
03/09/2017
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