# CASEY K. SHIMANE DDS A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932234861
- **Authorized official:** DR. CASEY K SHIMANE DDS (OWNER)
- **Authorized official phone:** (510) 885-8720

## Contact information

- **Practice address:** 20406 REDWOOD RD STE G, CASTRO VALLEY, CA 94546-4317
- **Practice address phone:** (510) 885-8720
- **Practice address fax:** (510) 885-8724
- **Mailing address:** 20406 REDWOOD RD STE G, CASTRO VALLEY, CA 94546-4317
- **Mailing address phone:** (510) 885-8720
- **Mailing address fax:** (510) 885-8724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 43658 | CA | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 12/02/2013