Individual
DR. ANDREW KASSARABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
705 DEVON AVE, PARK RIDGE, IL 60068-4754
(847) 825-4212
(847) 825-4216
Mailing address
705 DEVON AVE, PARK RIDGE, IL 60068-4754
(847) 825-4212
(847) 825-4216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018251
IL
Other
Enumeration date
11/02/2008
Last updated
11/02/2008
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