Provider Demographics
NPI:1326112111
Name:CASTILLO, FERDINAN TIMARIO (DDS)
Entity Type:Individual
Prefix:DR
First Name:FERDINAN
Middle Name:TIMARIO
Last Name:CASTILLO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28472 HESPERIAN BLVD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-4853
Mailing Address - Country:US
Mailing Address - Phone:510-786-4501
Mailing Address - Fax:510-786-4502
Practice Address - Street 1:28472 HESPERIAN BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-4853
Practice Address - Country:US
Practice Address - Phone:510-786-4501
Practice Address - Fax:510-786-4502
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS 358531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice