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Organization
DR, VICENTE G. CASIBANG, DDS, INC.
Active
Organization
DR, VICENTE G. CASIBANG, DDS, INC.
Active
Other names
Valley View Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTE G. CASIBANG DDS (OWNER)
(619) 475-8419
Entity
Organization
Contact information
Practice address
123 WORTHINGTON ST STE 101, SPRING VALLEY, CA 91977-6100
(619) 475-8419
(619) 472-3624
Mailing address
123 WORTHINGTON ST STE 101, SPRING VALLEY, CA 91977-6100
(619) 475-8419
(619) 472-3624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522496
—
CA
Enumeration date
10/15/2013
Last updated
10/01/2014
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