NPI | 1619013810 |
---|---|
Former Legal Business Name | DOMINIC A. CASTALDO |
Entity Type | Organization |
Authorized Contact | DOMINIC A. CASTALDO Orthodontist 610-444-5042 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS016128L) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-10-09 |