Individual
ALEXANDER KASSHAMOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
28550 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-2719
(248) 230-2672
Mailing address
2534 W SQUARE LAKE RD, WEST BLOOMFIELD, MI 48324-1761
(248) 881-2658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602746
MI
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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