Dr. Kent Angelo Caserta, DDS
Dentist, General Practice in Willoughby, OH. Individual provider (NPI-1).
NPI number1447265392
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1447265392
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kent Angelo Caserta
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 30 01527 | OH | Yes |
Practice location
38530 Lake Shore BlvdWilloughby, OH 44094-7163
Phone 440-953-1733 · Fax 440-946-1650
Mailing address
38530 Lake Shore BlvdWilloughby, OH 44094-7163
Phone 440-953-1733 · Fax 440-946-1650
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