Provider Demographics
NPI:1366120883
Name:GARRIDO CASTILLO, ARIANI ELENA (DMD)
Entity type:Individual
Prefix:DR
First Name:ARIANI
Middle Name:ELENA
Last Name:GARRIDO CASTILLO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12720 S ORANGE BLOSSOM TRL STE 22
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6227
Mailing Address - Country:US
Mailing Address - Phone:407-674-6049
Mailing Address - Fax:
Practice Address - Street 1:12720 S ORANGE BLOSSOM TRL STE 22
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6227
Practice Address - Country:US
Practice Address - Phone:407-674-6049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN283111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice