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Organization
KASEM DENTAL LLC
Active
Organization
KASEM DENTAL LLC
Active
Other names
Hancock Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NUSRAT KASEM (MANAGER)
(850) 443-4879
Entity
Organization
Contact information
Practice address
2560 E HWY 50 STE 103, CLERMONT, FL 34711-8411
(352) 989-5815
Mailing address
965 SADIE RIDGE RD, CLERMONT, FL 34715-0027
(850) 443-4879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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