Organization
CHARLES A. KASS DDS,MS,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A KASS D.D.S. (PRESIDENT)
(262) 784-7680
Entity
Organization
Contact information
Practice address
12720 W NORTH AVE, BROOKFIELD, WI 53005-4637
(262) 784-7680
(262) 784-7688
Mailing address
12720 W NORTH AVE, BROOKFIELD, WI 53005-4637
(262) 784-7680
(262) 784-7688
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5000531015
WI
Other
Enumeration date
10/23/2006
Last updated
06/01/2015
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