Individual
PAOLA V CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 E KEMPER RD, SPRINGDALE, OH 45246-3228
(513) 729-7245
Mailing address
1531 SW 138TH AVE, MIAMI, FL 33184-2732
(239) 994-7857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027737
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C234-678-95-647-0
DRIVERS LICENSE
FL
Enumeration date
06/08/2022
Last updated
10/10/2024
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