| Castillo Family Dentistry | |
|
1110 Walnut Dr Ardmore OK 73401-2353 | |
| (580) 223-7779 | |
| (580) 223-7789 |
| Full Name | Castillo Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1110 Walnut Dr, Ardmore, Oklahoma |
| Authorized Official Name and Position | Eric R. Castillo (OWNER/PRESIDENT) |
| Authorized Official Contact | 5802237779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castillo Family Dentistry 1110 Walnut Dr Ardmore OK 73401-2353 Ph: (580) 223-7779 | Castillo Family Dentistry 1110 Walnut Dr Ardmore OK 73401-2353 Ph: (580) 223-7779 |
| NPI Number | 1245612936 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245612936 | NPI | - | NPPES |
| 200021060A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5652 (Oklahoma) | Primary |
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