Theresa Anne Casper-klock DDS

NPI 1013911502 - Dentist - 1223G0001X

NPI Details
NPI 1013911502
Gender Female
Enumeration Date 06/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
33 WILLIAM ST
STE 1
AUBURN NY, 13021-3730, US
Phone (315) 253-8891
Fax
Business Location
33 WILLIAM ST
STE 1
AUBURN NY, 13021-3730, US
Phone (315) 253-8891
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 043090
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According to our database, Dr. Theresa Anne Casper-klock DDS NPI is 1013911502, taxonomy code is 1223G0001X and license number is 043090, license state is located at New York. Theresa Anne Casper-klock DDS physically located at 33 William St, Auburn NY, 13021-3730. NPI Number Theresa Anne Casper-klock DDS has the Individual type.

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1013911502 NPI number is provided on an as is basis without warranty of any kind. 1013911502 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Anne Casper-klock DDS are for informational purposes only.