Organization
MARC C CASSELLA DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC C CASSELLA DMD (OWNER)
(412) 673-4338
Entity
Organization
Contact information
Practice address
3017 VERSAILLES AVE, MCKEESPORT, PA 15132-1921
(412) 673-4338
(412) 673-3761
Mailing address
3017 VERSAILLES AVE, MCKEESPORT, PA 15132-1921
(412) 673-4338
(412) 673-3761
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS025173L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010628770001
—
PA
Enumeration date
04/26/2016
Last updated
04/26/2016
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