Individual
GERALD JACOB KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11 FARVIEW RD, WAYMART, PA 18472-7700
(570) 488-5811
(570) 488-2500
Mailing address
20 HILLCREST DR, OLYPHANT, PA 18447-1339
(570) 650-5028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027399L
PA
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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