Individual
DR. DANIEL JOSEPH CASSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
138 LIVELY ST, FAYETTEVILLE, WV 25840-1148
(304) 574-0424
(304) 574-2102
Mailing address
138 LIVELY ST, PO BOX 926, FAYETTEVILLE, WV 25840-1148
(304) 574-0424
(304) 574-2102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3912
WV
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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