GUSTAVO RUIZ DE CASTILLA DMD PA NPI 1659816429

NPI Information

GUSTAVO RUIZ DE CASTILLA DMD PA is a periodontics dentist in Tampa, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. GUSTAVO RUIZ DE CASTILLA DMD PA NPI is 1659816429. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Periodontal & Implant Esthetics.

The provider's business location address is:

3814 W AZEELE ST
TAMPA, FL
ZIP 33609-922
Phone: (813) 289-3640
Fax: (813) 872-0170

The provider's authorized official is Gustavo Ruiz De Castilla .
The authorized official title is Doctor and has the following contact phone number (813) 289-3640.

The enumeration date for this NPI number is 1/3/2017 and was last updated on 1/3/2017.

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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