Individual
DR. ANDREW LANCE KASSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6700 N. ORACLE ROAD, SUITE 327, TUCSON, AZ 85704-7740
(520) 575-1177
(520) 297-3328
Mailing address
6700 N. ORACLE ROAD, SUITE 327, TUCSON, AZ 85704-7740
(520) 575-1177
(520) 297-3328
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2495
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601947
UNITED CONCORDIA-TRICARE
AZ
Enumeration date
10/26/2006
Last updated
07/08/2007
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