Individual
DR. LEE DANIEL CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
162 S BROAD ST, LIBERTY, MS 39645-8059
(601) 657-5877
Mailing address
PO BOX 657, LIBERTY, MS 39645-0657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3412-07
MS
Other
Enumeration date
07/03/2007
Last updated
06/06/2008
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