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Dr. Dennis C Casad

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NPI Number Detailed Information

Provider Information:

Name: Dr. Dennis C Casad
Gender: M
Provider License Number If Given: 12627

NPI Information:

NPI: 1538154067
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 401 WASHINGTON ST SUITE C
Petaluma, CA 94952
Phone Number: 7077787010
Fax Number: 7077781222

Provider Business Practice Location Address:

Address: 401 WASHINGTON ST SUITE C
Petaluma, CA 94952
Phone Number: 7077787010
Fax Number: 7077781222

Provider Taxonomy:

Primary: 111N00000X
Secondary (if any):
State: CA

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