Carolyn Elizabeth Castaneda Fassioli Valid NPI
Individual provider · General Practice Dentistry · Lake Forest, CA
- NPI
- 1023553245
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 101094 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2016-12-23
- Last updated
- 2022-02-11
Practice location
22706 Aspan St Ste 602
Lake Forest, CA 92630-1603
(949) 716-7000