Individual
DR. MOAWIA KASSAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1801 W WISCONSIN AVE, MARQUETTE UNIVERSITY, DENTAL SCHOOL, SURGICAL SCIENCES, MILWAUKEE, WI 53233-2186
(414) 288-0771
(414) 288-8392
Mailing address
1801 W WISCONSIN AVE, MARQUETTE UNIVERSITY, DENTAL SCHOOL, SURGICAL SCIENCES, MILWAUKEE, WI 53233-2186
(414) 288-0771
(414) 288-8392
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11-875
WI
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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