Provider Demographics
NPI:1952527673
Name:CASTELLANOS, ONELIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ONELIA
Middle Name:
Last Name:CASTELLANOS
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 1:8489 CORAL WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2346
Mailing Address - Country:US
Mailing Address - Phone:305-266-9996
Mailing Address - Fax:305-266-3677
Practice Address - Street 1:8489 CORAL WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2346
Practice Address - Country:US
Practice Address - Phone:305-266-9996
Practice Address - Fax:305-266-3677
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0011193122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist