Organization
CASSIS DENTAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE L CASSIS DDS (OWNER / DENTIST)
(304) 574-0424
Entity
Organization
Contact information
Practice address
138 LIVELY ST, FAYETTEVILLE, WV 25840-1148
(304) 574-0424
(304) 574-2102
Mailing address
138 LIVELY ST, FAYETTEVILLE, WV 25840-1148
(304) 574-0424
(304) 574-2102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/23/2016
Last updated
12/07/2022
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