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Individual

SANDRA VICTOR KASHAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
8362 RICHARDSON RD, COMMERCE TOWNSHIP, MI 48382-4642
(248) 974-6011
Mailing address
7180 AUTUMN HILL DR, WEST BLOOMFIELD, MI 48323-2073
(248) 974-6011

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601746
MI

Other

Enumeration date
05/16/2023
Last updated
01/25/2024
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