Individual
DAVID ANTHONY CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 COORS BLVD NW, E-6, ALBUQUERQUE, NM 87121-2006
(505) 352-3808
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 583-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2149
NM
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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