JUAN PABLO CASTRO CUELLAR
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Radiology
Provider Information
- NPI Number
1912600263- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 305 W 12TH AVE, COLUMBUS, OH, 432101267
- Phone
- (614) 292-1472
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Radiology
Primary License: OH #71.000297
Dentist
License: OH #71.000297