Individual
DR. JOHN MARSHALL CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
205 N MAIN ST, ANNA, IL 62906-0489
(618) 833-2314
Mailing address
PO BOX 489, 205 N MAIN ST, ANNA, IL 62906-0489
(618) 833-2314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01915800
IL
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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