Individual
CRYSTAL AMINTA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
27 OLD RIVERHEAD RD, WESTHAMPTON BEACH, NY 11978-1402
(631) 998-3980
Mailing address
3015 WATCHILL AVE, MEDFORD, NY 11763-1839
(540) 514-0817
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
029895
NY
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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