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Miss Chanel Chew Castillo
General Practice Dentistry in Canyon Lake, California
NPI 1316308166

Chanel Chew Castillo is a General Practice Dentistry based in Canyon Lake, CA and is specialized in General Practice. Chanel Chew Castillo practices in Canyon Lake, CA. The NPI Number for Chanel Chew Castillo is 1316308166 and holds a License No. (California).

The current practice location address for Chanel Chew Castillo is 30290 Skippers Way Dr, Canyon Lake, CA and can be reached out via phone at 909-762-7048.

Location: 30290 Skippers Way Dr, Canyon Lake, CA, 92587-7406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316308166
Provider Name
Chanel Chew Castillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
30290 Skippers Way Dr, Canyon Lake, CA, 92587-7406
Phone Number
909-762-7048
Fax Number
Provider Enumeration Date
03/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20160200868801 01 CA IEHP
institution
Provider Business Practice Location Address Details
Address
30290 Skippers Way Dr
City
Canyon Lake
State
California
Zip
92587
Phone Number
909-762-7048
Fax Number
person
Provider Business Mailing Address Details
Address
30290 Skippers Way Dr
City
Canyon Lake
State
California
Zip
92587
Phone Number
909-762-7048
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
101938 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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