| Castiblanco Dental Care Llc | |
|
3901 Roswell Rd Ste 220 Marietta GA 30062-8816 | |
| (770) 977-0977 | |
| (770) 977-2910 |
| Full Name | Castiblanco Dental Care Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3901 Roswell Rd Ste 220, Marietta, Georgia |
| Authorized Official Name and Position | Adriana Castiblanco Shorey (DENTIST) |
| Authorized Official Contact | 7709770977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castiblanco Dental Care Llc 3901 Roswell Rd Ste 220 Marietta GA 30062-8816 Ph: (770) 977-0977 | Castiblanco Dental Care Llc 3901 Roswell Rd Ste 220 Marietta GA 30062-8816 Ph: (770) 977-0977 |
| NPI Number | 1104381359 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104381359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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