Individual
LUCIANA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11745 E MICHIGAN AVE, GRASS LAKE, MI 49240-9219
(517) 522-5018
(517) 522-3708
Mailing address
2143 ORCHARDVIEW DR, ANN ARBOR, MI 48108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021271
MI
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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