Organization
ERIC R.CASTILLO DDS, P.C.
Active
Other names
Castillo Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC R. CASTILLO DDS (OWNER/PRESIDENT)
(580) 223-7779
Entity
Organization
Contact information
Practice address
1110 WALNUT DR, ARDMORE, OK 73401-2353
(580) 223-7779
(580) 223-7789
Mailing address
1110 WALNUT DR, ARDMORE, OK 73401-2353
(580) 223-7779
(580) 223-7789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5652
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200021060A
—
OK
Enumeration date
06/18/2015
Last updated
06/18/2015
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