Individual
DR. GREGG LOUIS KASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5077 WATERWAY DR, MONTCLAIR, VA 22025-1259
(703) 897-0463
(703) 897-1155
Mailing address
5077 WATERWAY DR, MONTCLAIR, VA 22025-1259
(703) 897-0463
(703) 897-1155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401-007927
VA
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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