Individual
DR. PRISCILLA CANASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
111 W MONROE ST STE 131, PHOENIX, AZ 85003-1717
(602) 626-7952
Mailing address
231 W THOMAS RD STE 2, PHOENIX, AZ 85013-4406
(520) 468-1991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011457
AZ
Other
Enumeration date
07/05/2022
Last updated
01/09/2025
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