Individual
DR. PAOLA ANDREA CASTELLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3040
(203) 503-3187
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010788
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004234770
—
CT
01
—
53187
STATE LICENSE
CT
Enumeration date
05/20/2011
Last updated
03/07/2023
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