Individual
DR. MICHAEL CHARLES CABASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 PROFESSIONAL QUAD, SPARTA, NJ 07871-2330
(973) 729-9392
Mailing address
34 LAKEWOOD DR, MOUNTAIN LAKES, NJ 07046-1706
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI02321500
NJ
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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