Individual
CORTLYN KASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
401 NW 18TH ST, ANKENY, IA 50023-4260
(515) 964-0081
Mailing address
228 HAWKEYE CT APT 421, IOWA CITY, IA 52246-2873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09998
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2022
Last updated
07/07/2022
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