Individual
SUSANA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.A.
Contact information
Practice address
509 W HAMMEL ST, MONTEREY PARK, CA 91754-7020
(323) 597-0049
Mailing address
509 W HAMMEL ST, MONTEREY PARK, CA 91754-7020
(323) 597-0049
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
45767
CA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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