Provider Demographics
NPI:1760863864
Name:DO CASANO, TUTRINH T (DMD)
Entity Type:Individual
Prefix:DR
First Name:TUTRINH
Middle Name:T
Last Name:DO CASANO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 PROSPECT AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6454
Mailing Address - Country:US
Mailing Address - Phone:407-487-8030
Mailing Address - Fax:
Practice Address - Street 1:1925 PROSPECT AVE STE 110
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6454
Practice Address - Country:US
Practice Address - Phone:407-487-8030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 212881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice