Individual
JAMES STANLEY KASZUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1704 PATTON DR STE 1, MAHOMET, IL 61853-8137
(203) 530-3136
Mailing address
1704 PATTON DR STE 1, MAHOMET, IL 61853-8137
(219) 836-9999
(219) 836-0644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018246
IL
122300000X
Dentist
IN12009211
IN
Other
Enumeration date
10/23/2006
Last updated
10/28/2025
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