Organization
DR. SURAIYA A.KASU BDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURAIYA A KASU BDS (PRESIDENT)
(407) 846-2494
Entity
Organization
Contact information
Practice address
801 W OAK ST STE 102, KISSIMMEE, FL 34741-6605
(407) 846-2494
(407) 846-2895
Mailing address
801 W OAK ST STE 102, KISSIMMEE, FL 34741-6605
(407) 846-2494
(407) 846-2895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077289500
—
FL
Enumeration date
02/29/2012
Last updated
02/29/2012
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