Individual
WANDA MCCASKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
112 N WILLOW ST, HARRISON, AR 72601-4232
(870) 204-6974
Mailing address
112 N WILLOW ST, HARRISON, AR 72601-4232
(870) 204-6974
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
015631
MO
122300000X
Dentist
Primary
3540
AR
Other
Enumeration date
12/01/2006
Last updated
09/27/2009
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