Organization
CASTILLE AND CASTILLE DDS PC
Active
Other names
Dr M Gerard Castille and Dr Cynthia R Castille
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA REICHARD CASTILLE DDS (DENTIST OFFICER OF THE CORPORATION)
(281) 332-5561
Entity
Organization
Contact information
Practice address
1001 W MAIN ST, LEAGUE CITY, TX 77573
(281) 332-5561
(832) 632-2506
Mailing address
1001 W MAIN ST, LEAGUE CITY, TX 77573
(281) 332-5561
(281) 332-2926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
TX 13444
TX
122300000X
Dentist
TX 14291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81D751
BLUE CROSS BLUE SHIELD
TX
01
—
81D752
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/27/2007
Last updated
10/10/2011
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