Individual
KEREN ELIZABETH CASTELLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
621 SEBASTIAN BLVD STE C, SEBASTIAN, FL 32958-4345
(352) 483-9183
Mailing address
1660 APACHE TRL, MAITLAND, FL 32751-4906
(407) 383-6738
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21112
FL
Other
Enumeration date
06/20/2016
Last updated
06/28/2021
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