Individual
JESSICA LYNN CASSITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
102 N KENWOOD ST, CASPER, WY 82601-2724
(307) 234-3100
(307) 234-3104
Mailing address
102 N KENWOOD ST, CASPER, WY 82601-2724
(307) 234-3100
(307) 234-3104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1113
WY
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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