Luciana Castro

NPI 1710367636 - Dentist - 1223G0001X

NPI Details
NPI 1710367636
Gender Female
Enumeration Date 06/05/2015
Last Updated 06/05/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
11745 E MICHIGAN AVE
GRASS LAKE MI, 49240-9219, US
Phone (517) 522-5018
Fax (517) 522-3708
Business Location
2143 ORCHARDVIEW DR
ANN ARBOR MI, 48108, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901021271
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According to our database, Luciana Castro NPI is 1710367636, taxonomy code is 1223G0001X and license number is 2901021271, license state is located at Michigan. Luciana Castro physically located at 11745 E Michigan Ave, Grass Lake MI, 49240-9219. NPI Number Luciana Castro has the Individual type.

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1710367636 NPI number is provided on an as is basis without warranty of any kind. 1710367636 is maintained by the National Plan & Provider Enumeration System. The contents of Luciana Castro are for informational purposes only.