Provider Demographics
NPI:1154565851
Name:CASAUS, DANA M (DDS, MS)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:M
Last Name:CASAUS
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:5910 CUBERO DR NE
Mailing Address - Street 2:SUITE D
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3842
Mailing Address - Country:US
Mailing Address - Phone:505-508-4939
Mailing Address - Fax:505-717-1218
Practice Address - Street 1:5910 CUBERO DR NE
Practice Address - Street 2:SUITE D
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3842
Practice Address - Country:US
Practice Address - Phone:505-508-4939
Practice Address - Fax:505-717-1218
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2012-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMDD31131223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics