Individual
JACQUELINE CASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 TUCK ST STE 200, LEBANON, PA 17042-7477
(717) 892-5193
Mailing address
860 TUCK ST STE 200, LEBANON, PA 17042-7477
(717) 892-5193
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
019.030315
IL
1223P0221X
Pediatric Dentistry
Primary
042095
PA
1223P0221X
Pediatric Dentistry
64674
CA
Other
Enumeration date
04/30/2015
Last updated
02/17/2025
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