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Maritza Andreina Castro Penalosa, DMD
General Practice Dentistry in South Bend, Indiana
NPI 1992228290

Maritza Andreina Castro Penalosa is a General Practice Dentistry based in South Bend, IN and is specialized in General Practice. Maritza Andreina Castro Penalosa practices in South Bend, IN and has the professional credentials of DMD. The NPI Number for Maritza Andreina Castro Penalosa is 1992228290 and holds a License No. 22927 (Indiana).

The current practice location address for Maritza Andreina Castro Penalosa is 17901 Turners Dr, South Bend, IN and can be reached out via phone at 574-272-0466. You can also correspond with Maritza Andreina Castro Penalosa through the mailing address at 705 N HILL ST, SOUTH BEND, IN - 46617-1912 (mailing address contact number: 813-990-7449).

Location: 17901 Turners Dr, South Bend, IN, 46617-1912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992228290
Provider Name
Maritza Andreina Castro Penalosa
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
17901 Turners Dr, South Bend, IN, 46617-1912
Phone Number
574-272-0466
Fax Number
Provider Enumeration Date
07/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17901 Turners Dr
City
South Bend
State
Indiana
Zip
46635-1529
Phone Number
574-272-0466
Fax Number
person
Provider Business Mailing Address Details
Address
17901 Turners Dr
City
South Bend
State
Indiana
Zip
46635-1529
Phone Number
574-272-0466
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
22927 (Florida)
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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