Basic Information
Provider Information
NPI: 1659505162
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CASTRIGANO
FirstName: GIULIA
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: D.M.D., M.S
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PAGANO
OtherFirstName: GIULIA
OtherMiddleName: MARIE
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: D.M.D., M.S.
OtherLastNameType: 1
Mailing Information
Address1: 3333 BURNET AVENUE
Address2: ML 2006
City: CINCINNATI
State: OH
PostalCode: 452293026
CountryCode: US
TelephoneNumber: 5136364641
FaxNumber: 5136368283
Practice Location
Address1: 3333 BURNET AVENUE
Address2: ML 2006
City: CINCINNATI
State: OH
PostalCode: 45229
CountryCode: US
TelephoneNumber: 5136364641
FaxNumber: 5136368283
Other Information
ProviderEnumerationDate: 05/12/2009
LastUpdateDate: 07/03/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1223P0221X30.022905OHY Dental ProvidersDentistPediatric Dentistry

No ID Information.


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