Organization
KENT A. CASERTA, DDS., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT ANGELO CASERTA DDS (PRESIDENT)
(440) 953-1733
Entity
Organization
Contact information
Practice address
38530 LAKE SHORE BLVD, WILLOUGHBY, OH 44094-7163
(440) 953-1733
(440) 946-1650
Mailing address
38530 LAKE SHORE BLVD, WILLOUGHBY, OH 44094-7163
(440) 953-1733
(440) 946-1650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3001527
OH
Other
Enumeration date
06/01/2008
Last updated
06/01/2008
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