Organization
JOSE C. CASTILLO, D.D.S., INC.
Active
Parent organization
JOSE C. CASTILLO, D.D.S., INC.
Other names
Boutique Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSE C. CASTILLO, D.D.S., INC.
Authorized official
JOSE CASTILLO (PRESIDENT)
(858) 454-7111
Entity
Organization
Contact information
Practice address
7855 FAY AVE STE 220, LA JOLLA, CA 92037-4267
(858) 454-7111
Mailing address
7855 FAY AVE STE 220, LA JOLLA, CA 92037-4267
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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