Individual
DR. CASANDRA LEE TESSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3131 WALNUT ST, 205, PHILADELPHIA, PA 19104-3415
(216) 217-0256
Mailing address
3131 WALNUT ST, 205, PHILADELPHIA, PA 19104-3415
(216) 217-0256
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS038571
PA
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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