Individual
ANDREA T. KASIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
934 NE 8TH ST, GRANTS PASS, OR 97526-1641
(541) 471-7062
Mailing address
2774 ELK LN, GRANTS PASS, OR 97527-9114
(541) 471-7062
(541) 471-8539
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3886
OR
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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