Individual
JONATHAN DAVID CASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9275 DOERR RD STE 1400, NORTHERN REGIONAL DENTAL COMMAND, FORT BELVOIR, VA 22060-2204
(571) 231-5374
Mailing address
9275 DOERR RD STE 1400, NORTHERN REGIONAL DENTAL COMMAND, FORT BELVOIR, VA 22060-2204
(571) 231-5374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS038080
PA
1223G0001X
General Practice Dentistry
Primary
DS038080
PA
Other
Enumeration date
09/20/2011
Last updated
01/08/2014
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