Provider Demographics
NPI:1710466727
Name:CASTENS HYNES, VICTORIA LEIGH (DMD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LEIGH
Last Name:CASTENS HYNES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:VICTORIA
Other - Middle Name:LEIGH
Other - Last Name:CASTENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:425 MASSACHUSETTS AVE NW APT 1019
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-7632
Mailing Address - Country:US
Mailing Address - Phone:609-760-0173
Mailing Address - Fax:
Practice Address - Street 1:1201 S CAPITOL ST SW STE B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3529
Practice Address - Country:US
Practice Address - Phone:202-621-8446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD166381223G0001X
DCDEN10020031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice