# LARRY I. KASSEL, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073725404
- **Authorized official:** DR. LARRY I KASSEL DDS (PRESIDENT)
- **Authorized official phone:** (810) 733-8202

## Contact information

- **Practice address:** 1040 S LINDEN RD, FLINT, MI 48532-3405
- **Practice address phone:** (810) 733-8202
- **Practice address fax:** (810) 230-2523
- **Mailing address:** 1040 S LINDEN RD, FLINT, MI 48532-3405
- **Mailing address phone:** (810) 733-8202
- **Mailing address fax:** (810) 230-2523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12812 | MI | Yes |

## Other

- **Enumeration date:** 05/06/2007
- **Last updated:** 08/22/2020
