| NPI | 1134503428 |
|---|---|
| Former Name | ALICIA A CASTELLANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN21373) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN 21373) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-08-28 |