| Jose M. Castro Dds Inc. | |
|
1183 E Foothill Blvd Ste 150 Upland CA 91786-4084 | |
| (951) 264-8414 | |
| (909) 727-8320 |
| Full Name | Jose M. Castro Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1183 E Foothill Blvd Ste 150, Upland, California |
| Authorized Official Name and Position | Jose Mariano Castro (CEO) |
| Authorized Official Contact | 9512648414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose M. Castro Dds Inc. 1183 E Foothill Blvd Ste 150 Upland CA 91786-4084 Ph: (951) 264-8414 | Jose M. Castro Dds Inc. 1183 E Foothill Blvd Ste 150 Upland CA 91786-4084 Ph: (951) 264-8414 |
| NPI Number | 1144791815 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 12/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144791815 | NPI | - | NPPES |
| 1225113392 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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