Antonio Caso, DDS | |
310 S 3rd Ave, Walla Walla, WA 99362-3037 | |
(509) 529-3760 | |
(509) 529-7622 |
Full Name | Antonio Caso |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 310 S 3rd Ave, Walla Walla, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1689844003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE00008739 (Washington) | Primary |
Entity Name | Walla Walla Oms, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417226283 PECOS PAC ID: 2264691781 Enrollment ID: O20120301000851 |
Mailing Address | Practice Location Address |
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Antonio Caso, DDS 310 S 3rd Ave, Walla Walla, WA 99362-3037 Ph: () - | Antonio Caso, DDS 310 S 3rd Ave, Walla Walla, WA 99362-3037 Ph: (509) 529-3760 |
Mr. Chad T. Ordelheide, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Penny Ln, Walla Walla, WA 99362 Phone: 509-525-2752 Fax: 509-525-9063 | |
Dr. Dwight Layne Johnson, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1129 S 2nd Ave Ste D, Walla Walla, WA 99362 Phone: 509-516-1200 Fax: 509-516-1209 | |
Dr. Julie M Kellogg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Penny Ln, Walla Walla, WA 99362 Phone: 509-522-0940 Fax: 509-525-9063 | |
Nadia Farjo, DMD MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 614 E Alder St Ste 2, Walla Walla, WA 99362 Phone: 206-948-1249 | |
Fnu Nisina, Dentist Medicare: Medicare Enrolled Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 | |
Dr. Richard Jon Sundberg, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3762 Fax: 509-529-7622 | |
Michael Philip Holman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 850 Juniper St, Walla Walla, WA 99362 Phone: 509-525-1104 |