Individual
DR. BRADLEY MARK KASSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
3136 9 1/2 ST N, FARGO, ND 58102-1300
(701) 232-2101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1463
ND
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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