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Organization
LAMISE KASSEM DDS INC
Active
Organization
LAMISE KASSEM DDS INC
Active
Other names
Great expression dental
Organization subpart
No
Provider details
NPI number
Authorized official
LAMISE KASSEM DDS (OWNER/DENTIST)
19515450592
Entity
Organization
Contact information
Practice address
1717 OLD TUSTIN AVE, SANTA ANA, CA 92705-7815
(714) 480-0790
(714) 480-0794
Mailing address
2279 EAGLE GLEN PKWY # 112-220, CORONA, CA 92883-0790
(714) 480-0790
(714) 480-0794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51269
CA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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