| Casey K. Shimane Dds A Professional Corporation | |
|
20406 Redwood Rd Ste G Castro Valley CA 94546-4317 | |
| (510) 885-8720 | |
| (510) 885-8724 |
| Full Name | Casey K. Shimane Dds A Professional Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 20406 Redwood Rd Ste G, Castro Valley, California |
| Authorized Official Name and Position | Casey K Shimane (OWNER) |
| Authorized Official Contact | 5108858720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casey K. Shimane Dds A Professional Corporation 20406 Redwood Rd Ste G Castro Valley CA 94546-4317 Ph: (510) 885-8720 | Casey K. Shimane Dds A Professional Corporation 20406 Redwood Rd Ste G Castro Valley CA 94546-4317 Ph: (510) 885-8720 |
| NPI Number | 1932234861 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 12/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932234861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 43658 (California) | Primary |
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