Individual
DR. ANGELLE M CASAGRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MD
Contact information
Practice address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D6273
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
949290
—
AZ
01
—
AZ0412830
BCBS
AZ
Enumeration date
02/01/2007
Last updated
04/07/2025
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