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DR. SANDRA R CASARENO D.M.D

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1760699433

Individual Registrant:
DR. SANDRA R CASARENO D.M.D
Gender: F
Sole Proprietor

Location and contact information for practice:
5853 JARVIS AVE  NEWARK, CA 94560-1251 US
Tel: 510-744-0580  Fax: --

Contact information for business:
4372 REMORA DR  UNION CITY, CA 94587-2539 US
Tel: 510-429-8908  Fax: --

Registration Information:
NPI: 1760699433
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA39944

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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