Organization
OPTIMUM DENTAL CARE, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ITHAMAR CASTRO DMD (DENTIST)
(787) 783-6698
Entity
Organization
Contact information
Practice address
107 AVE ORTEGON STE 202, CAPARRA GALLERY BUILDING, GUAYNABO, PR 00966-2517
(787) 783-6698
(787) 793-3105
Mailing address
107 AVE ORTEGON STE 202, CAPARRA GALLERY BUILDING, GUAYNABO, PR 00966-2517
(787) 783-6698
(787) 793-3105
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2239
PR
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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