Organization
CASTILLO & MULKAY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO RAFAEL CASTILLO DMD (DENTIST)
(201) 330-3333
Entity
Organization
Contact information
Practice address
3133 CENTRAL AVE, SUITE 204, UNION CITY, NJ 07087-2423
(201) 330-3333
(201) 617-8210
Mailing address
7 CORN MILL CT, UPPER SADDLE RIVER, NJ 07458-1232
(201) 825-2120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408906
—
NJ
05
—
3408914
—
NJ
Enumeration date
03/27/2007
Last updated
12/17/2012
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