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Individual

DR. CHARLES ALAN KASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
12720 W. NORTH AVENUE, BROOKFIELD, WI 53005
(262) 784-7680
(262) 784-7688
Mailing address
12720 W. NORTH AVENUE, BROOKFIELD, WI 53005
(262) 784-7680
(262) 784-7688

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5000531-015
WI

Other

Enumeration date
07/13/2015
Last updated
07/13/2015
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