Organization
KE DENTAL, PC
Active
Other names
64 Highland Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR KASOUHA D.M.D (DENTIST)
(508) 926-8660
Entity
Organization
Contact information
Practice address
64 HIGHLAND ST, WORCESTER, MA 01609-2729
(508) 926-8660
(508) 926-8667
Mailing address
64 HIGHLAND ST, WORCESTER, MA 01609-2729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN1855818
MA
1223G0001X
General Practice Dentistry
Primary
DN1856170
MA
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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