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1013420967
GRACIE CASTILLO
HAWTHORNE, CA
NPI
1013420967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 102077)
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
Dr. GRACIE CASTILLO DDS
4277 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-4548
Phone number: 310-970-0200
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Mailing Address
Dr. GRACIE CASTILLO DDS
11900 GOSHEN AVE APT 103
LOS ANGELES, CA 90049-6379
Phone number: 831-840-1201
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