Organization
GUSTAVO RUIZ DE CASTILLA DMD PA
Active
Other names
Periodontal & Implant Esthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO RUIZ DE CASTILLA DMD (DOCTOR)
(813) 289-3640
Entity
Organization
Contact information
Practice address
3814 W AZEELE ST, TAMPA, FL 33609-3922
(813) 289-3640
(813) 872-0170
Mailing address
3814 W AZEELE ST, TAMPA, FL 33609-3922
(813) 289-3640
(813) 872-0170
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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