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Individual

DR. MICHAEL STEVEN CASEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
71 CENTRAL ST, WEST BOYLSTON, MA 01583-1689
(508) 835-3146
Mailing address
29 TOWNSEND DR, WEST BOYLSTON, MA 01583-1028
(508) 835-2042

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15025
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0260878
MA
01
X08373
BLUE CROSS
MA
Enumeration date
03/23/2007
Last updated
07/09/2007
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