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Organization
DR. KASSEM DENTAL CORP
Active
Organization
DR. KASSEM DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED YOUSRY KASSEM (DENTIST)
(951) 903-3967
Entity
Organization
Contact information
Practice address
24594 SUNNYMEAD BLVD STE X, MORENO VALLEY, CA 92553-3729
(909) 365-8908
Mailing address
PO BOX 178, MIRA LOMA, CA 91752-0178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
11/06/2024
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