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DR. SANDRA R CASARENO D.M.D
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1760699433
Individual Registrant:DR. SANDRA R CASARENO D.M.D
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
5853 JARVIS AVE NEWARK, CA 94560-1251 US
Tel: 510-744-0580 Fax: --
Tel: 510-744-0580 Fax: --
Contact information for business:
4372 REMORA DR UNION CITY, CA 94587-2539 US
Tel: 510-429-8908 Fax: --
Tel: 510-429-8908 Fax: --
Registration Information:
NPI: 1760699433
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | 39944 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
