Individual
MARQUITA DURAN CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1240 W SOUTHERN AVE, MESA, AZ 85202-4882
(480) 733-5437
Mailing address
1240 W SOUTHERN AVE, MESA, AZ 85202-4882
(480) 733-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
6825-15
WI
1223P0221X
Pediatric Dentistry
Primary
D011964
AZ
Other
Enumeration date
01/26/2012
Last updated
12/05/2023
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