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Individual

ADRIANNE CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10140 STAPLES MILL ROAD, GLEN ALLEN, VA 23060
(804) 672-4900
Mailing address
1612 HUGUENOT ROAD, MIDLOTHIAN, VA 23113
(804) 794-9789
(804) 419-1059

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401418033
VA
1223G0001X
General Practice Dentistry
D-10949
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/31/2017
Last updated
07/09/2024
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