| Antonio D. Caso, D.d.s., P.s. | |
|
310 S 3rd Ave Walla Walla WA 99362-3037 | |
| (509) 529-3760 | |
| (509) 529-7622 |
| Full Name | Antonio D. Caso, D.d.s., P.s. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 310 S 3rd Ave, Walla Walla, Washington |
| Authorized Official Name and Position | Antonio Caso (OWNER) |
| Authorized Official Contact | 5095293760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio D. Caso, D.d.s., P.s. 310 S 3rd Ave Walla Walla WA 99362-3037 Ph: (509) 529-3760 | Antonio D. Caso, D.d.s., P.s. 310 S 3rd Ave Walla Walla WA 99362-3037 Ph: (509) 529-3760 |
| NPI Number | 1265441497 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265441497 | NPI | - | NPPES |
| 5046677 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE00008739 (Washington) | Primary |
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