Kent Edward Cassidy D.D.S.

NPI 1093796005 - Dentist - 122300000X

NPI Details
NPI 1093796005
Gender Male
Enumeration Date 11/07/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
14418 EXCELSIOR BLVD
MINNETONKA MN, 55345-5820, US
Phone (952) 935-5212
Fax (952) 935-1391
Business Location
14418 EXCELSIOR BLVD
MINNETONKA MN, 55345-5820, US
Phone (952) 935-5212
Fax (952) 935-1391
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number D9306
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According to our database, Dr. Kent Edward Cassidy D.D.S. NPI is 1093796005, taxonomy code is 122300000X and license number is D9306, license state is located at Minnesota. Kent Edward Cassidy D.D.S. physically located at 14418 Excelsior Blvd, Minnetonka MN, 55345-5820. NPI Number Kent Edward Cassidy D.D.S. has the Individual type.

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1093796005 NPI number is provided on an as is basis without warranty of any kind. 1093796005 is maintained by the National Plan & Provider Enumeration System. The contents of Kent Edward Cassidy D.D.S. are for informational purposes only.