| Casiano Dental Lab, Llc | |
|
116 S Florida St Mobile AL 36606-1955 | |
| (251) 479-5157 | |
| Not Available |
| Full Name | Casiano Dental Lab, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 116 S Florida St, Mobile, Alabama |
| Authorized Official Name and Position | Jonathan Casiano (DENTIST) |
| Authorized Official Contact | 2057893179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casiano Dental Lab, Llc 116 S Florida St Mobile AL 36606-1955 Ph: (251) 479-5157 | Casiano Dental Lab, Llc 116 S Florida St Mobile AL 36606-1955 Ph: (251) 479-5157 |
| NPI Number | 1255044681 |
|---|---|
| Provider Enumeration Date | 12/30/2022 |
| Last Update Date | 01/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255044681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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