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General NPI Number Information
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NPI Number | 1689866709
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Entity Type | Organization
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Legal Business Name | G.S.CASTILLO, D.D.S. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 1001 E LATHAM AVE D
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City | HEMET
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State | CA
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Zip | 92543-4435
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Country | US
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Telephone | 951-652-1312
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Fax | 951-652-0771
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Provider Business Mailing Address
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Address Line | 1001 E LATHAM AVE D
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City | HEMET
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State | CA
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Zip | 92543-4435
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Country | US
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Telephone | 951-652-1312
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Fax | 951-652-0771
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. GUILLERMO SALVADOR CASTILLO
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Credential | DDS
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Telephone | 951-652-1312
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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 | 50896
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License Number State | CA
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