Individual
DR. SAMUEL L. CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3418 HIGHWAY 17, TOCCOA, GA 30577-8865
(706) 886-4256
(706) 886-6439
Mailing address
PO BOX 279, EASTANOLLEE, GA 30538-0279
(706) 886-4256
(706) 886-6439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10718
GA
Other
Enumeration date
10/05/2006
Last updated
01/28/2009
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