Individual
DR. JERALD KASIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2430 N FOREST RD, GETZVILLE, NY 14068-1535
(716) 636-8686
(716) 636-8669
Mailing address
88 PENHURST PARK, BUFFALO, NY 14222-1014
(716) 883-7185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
029120
NY
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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