Individual
CYNTHIA CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 WEBER RD, CORPUS CHRISTI, TX 78411-4547
(361) 855-1521
Mailing address
5250 WEBER RD, CORPUS CHRISTI, TX 78411-4547
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16761
TX
Other
Enumeration date
12/13/2006
Last updated
07/09/2007
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