Individual
ANTONIO CASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00008739
WA
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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