Individual
DR. EDARIZ R CASTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10102 NE GLISAN AVE, KAISER PERMANENTE GLISAN DENTAL OFFICE, PORTLAND, OR 97220
(503) 257-5959
(503) 408-1472
Mailing address
1 JEFFERSON PKWY, APT 302, LAKE OSWEGO, OR 97035-8847
(214) 206-6510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9418
OR
Other
Enumeration date
03/28/2007
Last updated
05/15/2013
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