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NPI Code Detail

MEDICARE: DR. JEANNETH FLOR CASTRO D.D.S.

MEDICARE:  DR. JEANNETH FLOR CASTRO  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry18867TX

General Provider Information

NPI Number : 1447218417
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEANNETH FLOR CASTRO D.D.S.
Provider Business Mailing Address
First Line : 8101 FONDREN RD
Second Line :
City : HOUSTON
State : TX
Zip : 77074-5903
Country : US
Telephone Number : 713-774-3999
Fax Number : 713-774-1714
Provider Business Practice Location Address
First Line : 8101 FONDREN RD
Second Line :
City : HOUSTON
State : TX
Zip : 77074-5903
Country : US
Telephone Number : 713-774-3999
Fax Number : 713-774-1714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JEANNETH FLOR CASTRO D.D.S.” Practice Location

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