Individual
DR. DARRELL BENTON CASADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4122 SHELBYVILLE RD, SUITE 105, LOUISVILLE, KY 40207-3242
(502) 896-4104
(502) 896-4023
Mailing address
4122 SHELBYVILLE RD, SUITE 105, LOUISVILLE, KY 40207-3242
(502) 896-4104
(502) 896-4023
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5156
KY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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