JACK DANIEL CASTILLA

COLUMBUS, OH
NPI1841529336
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OH  30016727)
Enumeration Date2009-12-14
Last Update Date2013-07-18
Business Address
Dr. JACK DANIEL CASTILLA d.d.s.
1206 W BROAD ST
COLUMBUS, OH 43222-1319
Phone number: 614-279-9204
Mailing Address
Dr. JACK DANIEL CASTILLA d.d.s.
1206 W BROAD ST
COLUMBUS, OH 43222-1319
Phone number: 614-279-9204
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