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Individual
DR. CASSANDRA COLLINS MCKENZIE
Active
Individual
DR. CASSANDRA COLLINS MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
2014021685
MO
1223P0300X
Periodontics
Primary
61312
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014021685
DENTAL SPECIALIST - MISSOURI DENTAL BOARD
MO
01
—
61312
PERIODONTICS - KANSAS DENTAL BOARD
KS
Enumeration date
07/09/2014
Last updated
03/07/2023
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