Individual
DR. SAMUEL CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14703 1ST LANE NE, SUITE 203, DUVALL, WA 98019
(425) 788-2626
(425) 788-7805
Mailing address
14703 1ST LANE NE, SUITE 203, DUVALL, WA 98019
(425) 788-2626
(425) 788-7805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5230
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5547906
—
WA
Enumeration date
09/27/2006
Last updated
07/08/2007
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