Organization
CASTILLO DENTAL CORPORATION
Active
Other names
MATHER MODERN DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CASTILLO (OWNER/DDS)
(916) 885-4927
Entity
Organization
Contact information
Practice address
10842 BEAR HOLLOW DR STE 101, RANCHO CORDOVA, CA 95670-6475
(916) 885-4927
(916) 885-1424
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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