| NPI | 1073631131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO RAFAEL CASTILLO Dentist 201-330-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-12-17 |