Provider Demographics
NPI:1225120785
Name:ROXAS, SHEILA CASTRO (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:CASTRO
Last Name:ROXAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 S GRAND AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-5040
Mailing Address - Country:US
Mailing Address - Phone:626-914-8418
Mailing Address - Fax:626-914-8428
Practice Address - Street 1:1315 S GRAND AVE SUITE 140
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-5047
Practice Address - Country:US
Practice Address - Phone:626-914-8418
Practice Address - Fax:626-914-8428
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA451831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice