Organization
GERALD H. KASSOY DDS,MS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD HOWARD KASSOY DDS,MS (DR. / OWNER)
(614) 575-2225
Entity
Organization
Contact information
Practice address
1418 BRICE RD, REYNOLDSBURG, OH 43068-2397
(614) 575-2225
(614) 575-2252
Mailing address
1418 BRICE RD, REYNOLDSBURG, OH 43068-2397
(614) 575-2225
(614) 575-2252
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2703837
—
OH
Enumeration date
09/30/2010
Last updated
09/30/2010
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