Organization
ANTONIO D. CASO, D.D.S., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO CASO D.D.S. (OWNER)
(509) 529-3760
Entity
Organization
Contact information
Practice address
310 S 3RD AVE, WALLA WALLA, WA 99362-3037
(509) 529-3760
(509) 529-7622
Mailing address
310 S 3RD AVE, WALLA WALLA, WA 99362-3037
(509) 529-3760
(509) 529-7622
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00008739
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5046677
—
WA
Enumeration date
08/05/2006
Last updated
08/22/2020
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