Provider Demographics
NPI:1134426075
Name:ROSARIO M CASTILLO DDS INC
Entity type:Organization
Organization Name:ROSARIO M CASTILLO DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:M
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-294-0300
Mailing Address - Street 1:27616 NEWHALL RANCH RD UNIT 5
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4015
Mailing Address - Country:US
Mailing Address - Phone:661-294-0300
Mailing Address - Fax:661-294-0301
Practice Address - Street 1:27616 NEWHALL RANCH RD UNIT 5
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4015
Practice Address - Country:US
Practice Address - Phone:661-294-0300
Practice Address - Fax:661-294-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA418981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty