Individual
PATRICIA CASTELLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
200 N 24TH ST, ROGERS, AR 72756-3591
(479) 636-2100
(479) 636-2110
Mailing address
200 N 24TH ST, ROGERS, AR 72756-3591
(479) 636-2100
(479) 636-2110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3459
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152469608
—
AR
Enumeration date
08/02/2006
Last updated
11/13/2019
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