Individual
DR. ANDREW JAMES CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 FORUM DR, ROLLA, MO 65401-2587
(573) 364-1821
Mailing address
12655 GINGER LN, ROLLA, MO 65401-6747
(573) 364-5684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015886
MO
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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