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General NPI Number Information
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NPI Number | 1174460984
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Entity Type | Organization
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Legal Business Name | OLGA IVETT CASTRO, DDS, PC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 4801 HIGHWAY 61 N STE 200
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City | WHITE BEAR LAKE
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State | MN
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Zip | 55110-2752
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Country | US
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Telephone | 651-429-3535
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Fax | 651-429-9630
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Provider Business Mailing Address
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Address Line | 4801 HIGHWAY 61 N STE 200
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City | WHITE BEAR LAKE
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State | MN
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Zip | 55110-2752
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Country | US
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Telephone | 651-429-3535
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Fax | 651-429-9630
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OLGA I CASTRO
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Credential | DDS
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Telephone | 651-429-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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