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Individual

DR. JOEL JAVAN CASIMIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1407 W 29TH ST, PUEBLO, CO 81008-1269
(816) 833-9815
Mailing address
4730 WOODSORREL CT, COLORADO SPGS, CO 80917-1424
(816) 833-9815

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00204852
CO
1223G0001X
General Practice Dentistry
2014017650
MO

Other

Enumeration date
06/07/2014
Last updated
10/13/2021
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