Individual
PATRICIO ELIAS CASTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-1755
Mailing address
11031 NE 9TH AVE, BISCAYNE PARK, FL 33161-7227
(305) 322-6779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PENDING
MA
Other
Enumeration date
05/20/2024
Last updated
05/25/2024
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