Provider Demographics
NPI:1144366519
Name:CASTILLO, ROSARIO (DDS)
Entity type:Individual
Prefix:
First Name:ROSARIO
Middle Name:
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27616 NEWHALL RANCH RD UNIT 5
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4015
Mailing Address - Country:US
Mailing Address - Phone:661-294-0300
Mailing Address - Fax:661-294-0301
Practice Address - Street 1:27616 NEWHALL RANCH RD UNIT 5
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4015
Practice Address - Country:US
Practice Address - Phone:661-294-0300
Practice Address - Fax:661-294-0301
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA418981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice