Individual
ISMAEL EL KHOULY CASTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PHD
Contact information
Practice address
421 FIRST AVENUE, 2ND FLOOR, NEW YORK, NY 10010-5629
(212) 998-9453
Mailing address
421 FIRST AVENUE, 2ND FLOOR, NEW YORK, NY 10010-5629
(703) 585-0172
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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