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Individual

ISMAEL EL KHOULY CASTILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS, PHD

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
000050-1
NY
122300000X
Dentist
11122
CT
122300000X
Dentist
DN19832
FL

Other

Enumeration date
05/12/2014
Last updated
04/30/2021
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