| Walla Walla Oms, Llc | |
|
312 S 3rd Ave Walla Walla WA 99362-3037 | |
| (509) 529-3760 | |
| Not Available |
| Full Name | Walla Walla Oms, Llc |
|---|---|
| Speciality | Dentist |
| Location | 312 S 3rd Ave, Walla Walla, Washington |
| Authorized Official Name and Position | Antonio Caso (SENIOR PARTNER) |
| Authorized Official Contact | 5095293760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walla Walla Oms, Llc 312 S 3rd Ave Walla Walla WA 99362-3037 Ph: (509) 529-3760 | Walla Walla Oms, Llc 312 S 3rd Ave Walla Walla WA 99362-3037 Ph: (509) 529-3760 |
| NPI Number | 1417226283 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 12/22/2011 |
| Medicare PECOS PAC ID | 2264691781 |
|---|---|
| Medicare Enrollment ID | O20120301000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417226283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Antonio D Caso |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689844003 PECOS PAC ID: 9335107614 Enrollment ID: I20050103000964 |
| Provider Name | Cecil S Ash |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538104682 PECOS PAC ID: 7416046628 Enrollment ID: I20071211000038 |
Blue Mountain Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Business One Cir, Walla Walla, WA 99362 Phone: 509-525-4662 Fax: 509-525-0513 | |
Cecil S. Ash Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3760 | |
Dr. Richard J. Sundberg D.d.s., P.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3762 Fax: 509-529-7622 | |
Edwards & Choi Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 E. Alder St., Suite #3, Walla Walla, WA 99362 Phone: 509-526-7012 Fax: 509-526-7013 | |
Walla Walla Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Penny Ln, Walla Walla, WA 99362 Phone: 509-525-7030 Fax: 509-522-3704 | |
Antonio D. Caso, D.d.s., P.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3760 Fax: 509-529-7622 | |
Aria Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1648 Plaza Way, Walla Walla, WA 99362 Phone: 509-522-2220 Fax: 509-522-0171 |