Organization
SPECIALTY PERIODONTAL CARE OF WASHINGTON PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J LACASTRO DMD (OWNER)
(724) 228-5800
Entity
Organization
Contact information
Practice address
2790 WEST CHESTNUT STREET, WASHINGTON, PA 15301
(724) 228-5800
(724) 223-5405
Mailing address
2790 WEST CHESTNUT STREET, WASHINGTON, PA 15301
(724) 228-5800
(724) 223-5405
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS027670L
PA
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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