Organization
CASTELLANO & CARPENTER DENTAL ASOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH B CASTELLANO DDS (PRESIDENT)
(956) 725-5035
Entity
Organization
Contact information
Practice address
7002 MCPHERSON RD STE 104, LAREDO, TX 78041-6442
(956) 725-5035
Mailing address
7002 MCPHERSON RD STE 104, LAREDO, TX 78041-6442
(956) 725-5035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
16408
TX
1223P0221X
Pediatric Dentistry
Primary
16249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091138001
—
TX
Enumeration date
09/27/2011
Last updated
09/27/2011
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