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Individual

DR. JAMES THEODORE CASTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 955-5000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
17172
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17172
MD LICENSE
MD
Enumeration date
08/19/2006
Last updated
12/22/2021
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