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Contact Information

SAMUEL CASTILLO, DMD
14703 1ST LANE NE
SUITE 203
DUVALL, WA98019
 Phone: 425-788-2626
 Fax: 425-788-7805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SAMUEL CASTILLO · (Male)

NPI Number 1083705800
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 09/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 5230
  • WA Medicaid 5547906
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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