Castillo, Dorian Ray

Castillo, Dorian Ray is an individual health care provider with primary practice located at 1631 Wetzel Ave Bldg 815 , Fort Carson CO 80913-4095. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Castillo, Dorian Ray can be contacted via phone (719) 526-5537.

Contact Information

Primary practice address
1631 Wetzel Ave Bldg 815 Fort Carson CO 80913-4095
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1396250916
LBN Legal business name Castillo, Dorian Ray
Credentials DENTAL ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2017
Last updated Dec 5th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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