Individual
CARLOS ANDRES CASTRO-PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1942 ATKINSON RD, SUITE 500, LAWRENCEVILLE, GA 30043-5003
(917) 907-2185
Mailing address
1942 ATKINSON RD, SUITE 500, LAWRENCEVILLE, GA 30043-5003
(917) 907-2185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013764
GA
1223P0700X
Prosthodontics
056055
NY
1223P0700X
Prosthodontics
DN013764
GA
Other
Enumeration date
08/18/2008
Last updated
01/09/2015
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