Individual
KEVIN J KASICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
795 N LEXINGTON SPRINGMILL RD, ONTARIO, OH 44906-1114
(419) 522-1386
(419) 775-1119
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-023050
OH
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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