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General NPI Number Information
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NPI Number | 1962202234
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Entity Type | Organization
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Legal Business Name | CASTILLO DENTISTRY PLLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 7135 W SAHARA AVE STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89117-2828
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Country | US
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Telephone | 702-872-2872
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Fax |
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Provider Business Mailing Address
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Address Line | 7135 W SAHARA AVE STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89117-2828
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Country | US
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Telephone | 702-872-2872
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Fax |
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Authorized Official
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Title or Position | OWNER, MANAGER
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Name | DR. LEONARDO MIGUEL B CASTILLO
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Credential | DMD
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Telephone | 630-732-1707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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