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Individual

KASANDRA RAE DASSOULAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10810 CONNECTICUT AVE, KENSINGTON, MD 20895-2138
(434) 326-7386
Mailing address
10810 CONNECTICUT AVE, KENSINGTON, MD 20895-2138
(301) 929-7100

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D83761
MD

Other

Enumeration date
04/08/2011
Last updated
06/21/2021
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