Individual
DR. CLAUDIO HERMAN CAYCEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4215 FRANKLIN AVE, WACO, TX 76710-2529
(254) 227-6444
Mailing address
3901 BENETTON WAY, LEANDER, TX 78641-5034
(806) 778-8826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2385
NM
1223G0001X
General Practice Dentistry
Primary
19706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01584804
UNITED CONCORDIA
—
05
—
44425864
—
NM
01
—
912186110
DORAL DENTAL - MEDICAID
NM
Enumeration date
03/28/2007
Last updated
11/26/2024
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