Provider Demographics
NPI:1649333097
Name:CASTRO, DANIEL (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:CASTRO
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 1:6901 HELEN OF TROY
Mailing Address - Street 2:BUILDING C
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-3043
Mailing Address - Country:US
Mailing Address - Phone:915-581-8070
Mailing Address - Fax:915-231-9400
Practice Address - Street 1:6901 HELEN OF TROY
Practice Address - Street 2:BUILDING C
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-3043
Practice Address - Country:US
Practice Address - Phone:915-581-8070
Practice Address - Fax:915-231-9400
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16172122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist