| Glen T. Casto Dds, Mds, Pa | |
|
621 Sebastian Blvd B Sebastian FL 32958-4309 | |
| (772) 388-6400 | |
| Not Available |
| Full Name | Glen T. Casto Dds, Mds, Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 621 Sebastian Blvd, Sebastian, Florida |
| Authorized Official Name and Position | Glen Casto (OWNER) |
| 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 B Sebastian FL 32958-4309 Ph: (772) 388-6400 | Glen T. Casto Dds, Mds, Pa 621 Sebastian Blvd B Sebastian FL 32958-4309 Ph: (772) 388-6400 |
| NPI Number | 1497000178 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 07/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497000178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN16640 (Florida) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN16978 (Florida) | Secondary |
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