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Individual

DR. ROBERT H CASSIDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1801 WEST WISCONSIN AVE, MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY, MILWAUKEE, WI 53223
(414) 288-5254
Mailing address
2433 W RANCH RD, MEQUON, WI 53092
(262) 242-5184

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001007015
WI

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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