Individual
DR. JOSE CARLOS CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.A., M.M.SC
Contact information
Practice address
2918 FIFTH AVE STE 310, SAN DIEGO, CA 92103-5910
(619) 295-2288
Mailing address
2918 FIFTH AVE STE 310, SAN DIEGO, CA 92103-5910
(619) 295-2288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856699
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS101338
CA
Other
Enumeration date
08/15/2014
Last updated
02/20/2025
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