Individual
DR. SULIEMAN KASSISIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
9377 E BELL RD, SUITE 185, SCOTTSDALE, AZ 85260-1502
(480) 948-4010
Mailing address
9377 E BELL RD, SUITE 185, SCOTTSDALE, AZ 85260-1502
(480) 948-4010
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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