Individual
MR. KARRY MICHAEL CASSIDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RDH BS
Contact information
Practice address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Mailing address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2002014200
MO
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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