Individual
DR. CASEY DEPAUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1066 ABBOTT RD # 1, BUFFALO, NY 14220-2756
(716) 828-2295
Mailing address
81 RICHFIELD AVE, BUFFALO, NY 14220-1914
(315) 573-6355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061128
NY
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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