Provider Demographics
NPI:1336942408
Name:CASTELLANO GUTIERREZ, FRANDY ARTURO (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANDY
Middle Name:ARTURO
Last Name:CASTELLANO GUTIERREZ
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:984 HARRISON ST APT B
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1009
Mailing Address - Country:US
Mailing Address - Phone:201-470-8399
Mailing Address - Fax:
Practice Address - Street 1:1830 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95065-1819
Practice Address - Country:US
Practice Address - Phone:831-464-5409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program