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Organization
PARADISE DENTAL
Active
Organization
PARADISE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE W. CASTRO DDS (OWNER/DENTIST)
(941) 744-1226
Entity
Organization
Contact information
Practice address
1711 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4906
(941) 744-1226
(941) 907-0404
Mailing address
1711 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4906
(941) 744-1226
(941) 907-0404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85208
BLUE CROSS BLUE SHIELD NUMBER
FL
Enumeration date
07/23/2008
Last updated
07/23/2008
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