Provider Demographics
NPI:1235135716
Name:DELCASTILLO, DANIEL ALEX (DMD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALEX
Last Name:DELCASTILLO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 ARTHUR GODFREY RD
Mailing Address - Street 2:STE 302
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3339
Mailing Address - Country:US
Mailing Address - Phone:305-535-3113
Mailing Address - Fax:305-535-3138
Practice Address - Street 1:925 ARTHUR GODFREY RD
Practice Address - Street 2:STE 302
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3339
Practice Address - Country:US
Practice Address - Phone:305-535-3113
Practice Address - Fax:305-535-3138
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice