Individual
DR. MOHANAMURALIKRISHNA KASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3113 S 13TH ST, MILWAUKEE, WI 53215-4609
(614) 477-5665
Mailing address
8716 S WOOD CREEK DR APT 2, OAK CREEK, WI 53154-7507
(414) 217-9774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100189115
WI
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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