Provider Demographics
NPI:1548385776
Name:CASTELLANA, MAUREEN GONTA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:GONTA
Last Name:CASTELLANA
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Gender:F
Credentials:DDS
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Mailing Address - Street 1:100 W MARKET ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-2520
Mailing Address - Country:US
Mailing Address - Phone:607-962-8520
Mailing Address - Fax:607-962-0115
Practice Address - Street 1:100 W MARKET ST
Practice Address - Street 2:SUITE 202
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2520
Practice Address - Country:US
Practice Address - Phone:607-962-8520
Practice Address - Fax:607-962-0115
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0439021223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry