Individual
DR. CASSADY NYX RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
110 INDIAN ST, CHEROKEE, IA 51012-1272
(712) 225-0432
Mailing address
110 INDIAN ST, CHEROKEE, IA 51012-1272
(712) 225-0432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08709
IA
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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