Individual
DR. TIMOTHY J CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22011 E COUNTRY VISTA DR STE 201, LIBERTY LAKE, WA 99019-5242
(509) 927-9279
(509) 927-9278
Mailing address
22910 E APPLEWAY, #5, LIBERTY LAKE, WA 99019
(509) 927-9279
(509) 927-9278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9028
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5036710
—
WA
Enumeration date
10/24/2006
Last updated
12/23/2020
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