Individual
GRANT CASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
910 SW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986-1766
(772) 785-9515
(772) 785-5308
Mailing address
4014 WINTER GARDEN VINELAND RD, STE B, WINTER GARDEN, FL 34787
(321) 248-2923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN27329
FL
Other
Enumeration date
08/16/2022
Last updated
02/20/2023
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