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General NPI Number Information
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NPI Number | 1609336478
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Entity Type | Organization
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Legal Business Name | MIGUEL A CASTRO DDS, INC
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 03/20/2019
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Provider Practice Location Address
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Address Line | 81 GREGORY LANE OFFICE 210
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4922
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Country | US
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Telephone | 925-204-6062
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Fax | 925-240-8843
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Provider Business Mailing Address
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Address Line | 81 GREGORY LANE OFFICE 210
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4922
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Country | US
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Telephone | 925-204-6062
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Fax | 925-240-8843
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIGUEL AUGUSTO CASTRO
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Credential | DDS
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Telephone | 925-204-6062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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