Individual
IVONNE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8000 HIGHWAY 23, BELLE CHASSE, LA 70037-2442
(504) 391-0000
Mailing address
8000 HIGHWAY 23, BELLE CHASSE, LA 70037-2442
(504) 391-0000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5437
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854379
—
LA
Enumeration date
12/22/2006
Last updated
07/08/2007
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