Individual
DR. SULIEMAN KASSISIEH
Active
Individual
DR. SULIEMAN KASSISIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4721
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
861015305
TAX ID
—
Enumeration date
11/10/2006
Last updated
12/26/2017
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