CASTIBLANCO DENTAL CARE LLC NPI 1104381359

NPI Information

CASTIBLANCO DENTAL CARE LLC is a general practice dentist in Marietta, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CASTIBLANCO DENTAL CARE LLC NPI is 1104381359. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3901 ROSWELL RD STE 220
MARIETTA, GA
ZIP 30062-816
Phone: (770) 977-0977
Fax: (770) 977-2910

The provider's authorized official is Adriana Castiblanco Shorey .
The authorized official title is Dentist and has the following contact phone number (770) 977-0977.

The enumeration date for this NPI number is 2/1/2019 and was last updated on 2/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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