| Glen T. Casto Dds,mds,pa | |
|
621 Sebastian Boulevard Suite B Sebastian FL 32958 | |
| (772) 388-6400 | |
| (772) 388-6446 |
| Full Name | Glen T. Casto Dds,mds,pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 621 Sebastian Boulevard, Sebastian, Florida |
| Authorized Official Name and Position | Tanya Poppell (MANAGER) |
| Authorized Official Contact | 7723886400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen T. Casto Dds,mds,pa 621 Sebastian Blvd Suite B Sebastian FL 32958-4309 Ph: (772) 388-6400 | Glen T. Casto Dds,mds,pa 621 Sebastian Boulevard Suite B Sebastian FL 32958 Ph: (772) 388-6400 |
| NPI Number | 1245521228 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245521228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN16640 (Florida) | Primary |
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