Individual
GUILLERMO RAFAEL CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3133 CENTRAL AVE, SUITE 204, UNION CITY, NJ 07087-2423
(201) 330-3333
(201) 617-8210
Mailing address
7 CORN MILL CT, UPPER SADDLE RIVER, NJ 07458-1232
(201) 330-3333
(201) 617-8210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI16649
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16649
DELTA DENTAL
NJ
05
—
1709909
—
NJ
Enumeration date
08/09/2006
Last updated
03/21/2013
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