Individual
DR. CASSEY A. ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
104 W GRESHAM ST, INDIANOLA, MS 38751-2199
(662) 887-1133
Mailing address
403 E PERCY ST, INDIANOLA, MS 38751-2543
(662) 207-1728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3548-10
MS
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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