Individual
DR. AUTUMN CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1251 AUSTIN HWY STE 104, SAN ANTONIO, TX 78209-4807
(210) 817-8683
Mailing address
6155 ECKHERT RD APT 6104, SAN ANTONIO, TX 78240-3179
(325) 207-6594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35580
TX
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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