| Gustavo Ruiz De Castilla Dmd Pa | |
|
3814 W Azeele St Tampa FL 33609-3922 | |
| (813) 289-3640 | |
| (813) 872-0170 |
| Full Name | Gustavo Ruiz De Castilla Dmd Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3814 W Azeele St, Tampa, Florida |
| Authorized Official Name and Position | Gustavo Ruiz De Castilla (DOCTOR) |
| Authorized Official Contact | 8132893640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo Ruiz De Castilla Dmd Pa 3814 W Azeele St Tampa FL 33609-3922 Ph: (813) 289-3640 | Gustavo Ruiz De Castilla Dmd Pa 3814 W Azeele St Tampa FL 33609-3922 Ph: (813) 289-3640 |
| NPI Number | 1659816429 |
|---|---|
| Provider Enumeration Date | 01/03/2017 |
| Last Update Date | 01/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659816429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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