DR. Theresa Anne Casper-Klock, DDS

NPI #1013911502 in Auburn, New York

Provider Information

NPI Number: 1013911502
Entity Type: Individual
Name: DR. Theresa Anne Casper-Klock, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 13, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 33 WILLIAM ST
Address 2: STE 1
City: Auburn
State: New York
ZIP Code: 13021-3730
Phone: (315) 253-8891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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