| Luis Castillo Professional Dental Corporation | |
|
5359 N Fresno St Ste 110f Fresno CA 93710-6864 | |
| (559) 221-0302 | |
| (559) 221-0302 |
| Full Name | Luis Castillo Professional Dental Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 5359 N Fresno St Ste 110f, Fresno, California |
| Authorized Official Name and Position | Annette Castillo (SECRETARY) |
| Authorized Official Contact | 5592210302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Castillo Professional Dental Corporation 5359 N Fresno St Ste 110f Fresno CA 93710-6864 Ph: () - | Luis Castillo Professional Dental Corporation 5359 N Fresno St Ste 110f Fresno CA 93710-6864 Ph: (559) 221-0302 |
| NPI Number | 1700305802 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 3577995786 |
|---|---|
| Medicare Enrollment ID | O20191108001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700305802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 45659 (California) | Primary |
| Provider Name | Luis F Castillo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265501415 PECOS PAC ID: 7416382817 Enrollment ID: I20200113001774 |
California Kidds Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7525 N. Cedar Ave, #105, Fresno, CA 93720 Phone: 559-439-6600 Fax: 559-439-5400 | |
Raji Haddad D.d.s. Inc. Dba First Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W Shaw Ave, Fresno, CA 93704 Phone: 559-229-8200 | |
J Castelo Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5755 E Kings Canyon Rd Ste 108, Fresno, CA 93727 Phone: 559-251-4281 Fax: 559-251-4281 | |
T. Gary Forester, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7525 N Cedar Ave Ste 117, Fresno, CA 93720 Phone: 559-432-1300 Fax: 559-439-0313 | |
Brent David Powell Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7005 N Chestnut Ave, Suite 101, Fresno, CA 93720 Phone: 559-299-3949 Fax: 559-299-7880 | |
Community Dental Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 E Shields Ave, Suite 226, Fresno, CA 93726 Phone: 559-226-2626 Fax: 559-244-5822 | |
Andrew R. Rahn, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 E Herndon Ave Ste 104, Fresno, CA 93720 Phone: 559-435-7993 Fax: 559-435-7935 |