Organization
WALLA WALLA OMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO CASO D.D.S. (SENIOR PARTNER)
(509) 529-3760
Entity
Organization
Contact information
Practice address
312 S 3RD AVE, WALLA WALLA, WA 99362-3037
(509) 529-3760
Mailing address
312 S 3RD AVE, WALLA WALLA, WA 99362-3037
(509) 529-3760
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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