Organization
MADELEINE CASTELLANOS DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELEINE CASTELLANOS-GONZALEZ DMD (OWNER)
(305) 820-4080
Entity
Organization
Contact information
Practice address
2140 W 68TH ST STE 202, HIALEAH, FL 33016-1815
(305) 820-4080
Mailing address
2140 W 68TH ST STE 202, HIALEAH, FL 33016-1815
(305) 820-4080
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0718145900
—
FL
Enumeration date
01/11/2021
Last updated
01/11/2021
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