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Individual

ROBERT WILFRED CASSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
351 W. SWANSON AVE, SUITE 1, WASILLA, AK 99654
(907) 376-5315
(907) 376-7855
Mailing address
351 W. SWANSON AVE, SUITE 1, WASILLA, AK 99654
(907) 376-5315
(907) 376-7855

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
706
AK

Other

Enumeration date
02/05/2010
Last updated
02/05/2010
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