Individual
THOMAS L. KASSUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3805 S KIWANIS CIR, SIOUX FALLS, SD 57105-4266
(605) 335-8830
(605) 335-0947
Mailing address
2600 S VALLEY VIEW RD, SIOUX FALLS, SD 57106-0537
(605) 335-8830
(605) 335-0947
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
M552
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M552
LICENSE NUMBER
SD
Enumeration date
11/30/2006
Last updated
03/07/2023
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