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Individual

MS. LUSHANA MARIE CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
3145 GARDEN AVE, JBSA FT SAM HOUSTON, TX 78234-7718
(210) 808-3735
Mailing address
3145 GARDEN AVE, SAN ANTONIO, TX 78234-7718
(210) 808-3735

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
17911
TX

Other

Enumeration date
01/12/2022
Last updated
01/12/2022
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