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Individual

DR. MANUEL CASTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2602 N LOOP 1604 W STE 207, HAPPY PEDIATRIC DENTISTRY, SAN ANTONIO, TX 78248-1479
(210) 510-2862
(210) 802-4499
Mailing address
2602 N LOOP 1604 W STE 207, HAPPY PEDIATRIC DENTISTRY, SAN ANTONIO, TX 78248-1479
(210) 510-2862
(210) 802-4499

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23705
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2049744
TX
Enumeration date
08/17/2006
Last updated
03/04/2021
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