Individual
DR. MICHAEL KASSELIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 LEMOINE AVENUE, FORT LEE, NJ 07024
(201) 947-5437
(201) 947-9275
Mailing address
2500 LEMOINE AVENUE, FORT LEE, NJ 07024
(201) 947-5437
(201) 947-9275
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DI0 19376
NJ
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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