Individual
KASEM ABDALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
204 W 19TH ST, MT PLEASANT, TX 75455-2320
(903) 572-4141
Mailing address
4817 WATERVIEW CT, LEXINGTON, KY 40513-1418
(859) 684-0199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36996
TX
1223G0001X
General Practice Dentistry
10512
KY
1223G0001X
General Practice Dentistry
7157
LA
Other
Enumeration date
01/07/2021
Last updated
02/23/2024
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