Individual
JUAN CARLOS KASSAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
118 S MAIN ST, CANASTOTA, NY 13032-1234
(315) 697-9287
(315) 697-4038
Mailing address
118 S MAIN ST, CANASTOTA, NY 13032-1234
(315) 697-9287
(315) 697-4038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044335
NY
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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