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NPI Code Detail

MEDICARE: DR. EDWARD CLIFFE KASSAB DMD

MEDICARE:  DR. EDWARD CLIFFE KASSAB  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS023345LPA

General Provider Information

NPI Number : 1437156957
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD CLIFFE KASSAB DMD
Provider Business Mailing Address
First Line : 28 N BARBARA ST
Second Line :
City : MOUNT JOY
State : PA
Zip : 17552-1402
Country : US
Telephone Number : 717-653-2404
Fax Number : 717-653-0022
Provider Business Practice Location Address
First Line : 28 N BARBARA ST
Second Line :
City : MOUNT JOY
State : PA
Zip : 17552-1402
Country : US
Telephone Number : 717-653-2404
Fax Number : 717-653-0022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 07/08/2007

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Directions to “ DR. EDWARD CLIFFE KASSAB DMD” Practice Location

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