SearchIndiana225700000X

Elijah Castillo, MT, LE

NPI 1811480916 · on the registry since 2018 · sole proprietor

Practice

Address
6117 N College Ave Ste 2
Indianapolis, IN 46220
Phone
(317) 813-9244
Organisation at this address
Nam Park Dental Pc
Broad Ripple Family Dental, Llc
Indiana Center For Surgical Arts
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana