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General NPI Number Information
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NPI Number | 1366012965
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Entity Type | Individual
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Provider Name | JHONNY CASTRO TIGRE DDS
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Gender | Male
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 2323 DE LA VINA ST STE 203
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3879
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Country | US
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Telephone | 805-569-1833
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Fax |
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Provider Business Mailing Address
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Address Line | 4160 HIGHLAND AVE STE J
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City | HIGHLAND
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State | CA
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Zip | 92346-2750
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Country | US
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Telephone | 909-281-8200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 1002671-15
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 108357
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License Number State | CA
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