| Marc C Cassella Dmd | |
|
3017 Versailles Ave Mckeesport PA 15132-1921 | |
| (412) 673-4338 | |
| (412) 673-3761 |
| Full Name | Marc C Cassella Dmd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3017 Versailles Ave, Mckeesport, Pennsylvania |
| Authorized Official Name and Position | Marc C Cassella (OWNER) |
| Authorized Official Contact | 4126734338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc C Cassella Dmd 3017 Versailles Ave Mckeesport PA 15132-1921 Ph: (412) 673-4338 | Marc C Cassella Dmd 3017 Versailles Ave Mckeesport PA 15132-1921 Ph: (412) 673-4338 |
| NPI Number | 1376998450 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376998450 | NPI | - | NPPES |
| 0010628770001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS025173L (Pennsylvania) | Primary |
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