Individual
DR. FEDERICO CASTILLO IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3265 S 24TH ST, COUNCIL BLUFFS, IA 51501-6901
(712) 309-0480
(402) 934-8244
Mailing address
3265 S 24TH ST, COUNCIL BLUFFS, IA 51501-6901
(712) 309-0480
(402) 934-8244
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2015020284
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9895
IA
Other
Enumeration date
06/29/2015
Last updated
07/26/2021
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