Provider Demographics
NPI:1851775803
Name:CASTILLO, FRANK A (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:A
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 1:3118 STORY RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95127-3815
Mailing Address - Country:US
Mailing Address - Phone:408-254-8251
Mailing Address - Fax:408-254-0687
Practice Address - Street 1:3118 STORY RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-3815
Practice Address - Country:US
Practice Address - Phone:408-254-8251
Practice Address - Fax:408-254-0687
Is Sole Proprietor?:No
Enumeration Date:2015-07-18
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64613122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist