Organization
CASEY K. SHIMANE DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY K SHIMANE DDS (OWNER)
(510) 885-8720
Entity
Organization
Contact information
Practice address
20406 REDWOOD RD STE G, CASTRO VALLEY, CA 94546-4317
(510) 885-8720
(510) 885-8724
Mailing address
20406 REDWOOD RD STE G, CASTRO VALLEY, CA 94546-4317
(510) 885-8720
(510) 885-8724
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
43658
CA
Other
Enumeration date
02/22/2007
Last updated
12/02/2013
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