Healthcare Provider Details

I. General information

NPI: 1982320768
Provider Name (Legal Business Name): JUSTINE CASTOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUSTINE SAVAGE DDS

II. Dates (important events)

Enumeration Date: 10/13/2022
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30200 AGOURA RD STE 270
AGOURA HILLS CA
91301-5440
US

IV. Provider business mailing address

30200 AGOURA RD STE 270
AGOURA HILLS CA
91301-5440
US

V. Phone/Fax

Practice location:
  • Phone: 818-889-0400
  • Fax:
Mailing address:
  • Phone: 818-889-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number108221
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: