Individual
ANTHONY CASTELLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
819 WALNUT ST, SUITE 101, KANSAS CITY, MO 64106-1810
(816) 421-6065
Mailing address
11 MARKET PLACE, ESSEX JUNCTION, VT 05452
(802) 878-5591
(802) 878-8951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2009018558
MO
1223G0001X
General Practice Dentistry
Primary
68558
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018058
—
VT
Enumeration date
07/13/2009
Last updated
12/02/2010
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