Provider Demographics
NPI:1992025688
Name:CASTO-MOLINA, CASSANDRA JUSTINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:JUSTINE
Last Name:CASTO-MOLINA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3055 WASHINGTON RD STE 303
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3279
Mailing Address - Country:US
Mailing Address - Phone:724-942-5630
Mailing Address - Fax:724-942-5632
Practice Address - Street 1:3055 WASHINGTON RD STE 303
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3279
Practice Address - Country:US
Practice Address - Phone:724-942-5630
Practice Address - Fax:724-942-5632
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039838122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist