Provider Demographics
NPI:1447476148
Name:WESTCHESTER DENTAL OFFICE
Entity type:Organization
Organization Name:WESTCHESTER DENTAL OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTELLANOS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-266-9996
Mailing Address - Street 1:8489 CORAL WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2346
Mailing Address - Country:US
Mailing Address - Phone:305-266-9996
Mailing Address - Fax:305-266-3677
Practice Address - Street 1:8489 CORAL WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2346
Practice Address - Country:US
Practice Address - Phone:305-266-9996
Practice Address - Fax:305-266-3677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL009167122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty