Castillo, Manuel

Castillo, Manuel is an sole proprietor health care provider with primary practice located at 2602 N Loop 1604 W Ste 207 Happy Pediatric Dentistry, San Antonio TX 78248-1479. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Castillo, Manuel can be contacted via phone (210) 510-2862.

Contact Information

Primary practice address
2602 N Loop 1604 W Ste 207 Happy Pediatric Dentistry San Antonio TX 78248-1479
Phone: (210) 510-2862
Fax: (210) 802-4499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 23705 Texas

Profile Details

NPI number 1639283872
LBN Legal business name Castillo, Manuel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Mar 4th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639283872 NPPES
Texas MEDICAID 2049744

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