Individual
DR. CASEY RAY WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
485 S MAIN ST STE 301, SPRINGVILLE, UT 84663-2290
(972) 693-8923
Mailing address
485 S MAIN ST STE 301, SPRINGVILLE, UT 84663-2290
(972) 693-8923
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
370600-9921
UT
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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