NPI Index

DR. MOAWIA KASSAB, DDS, MS

Dentist - Periodontics

Active Individual
NPI: 1164436150

Practice Address

1801 W WISCONSIN AVE
MARQUETTE UNIVERSITY, DENTAL SCHOOL, SURGICAL SCIENCES
Milwaukee, WI 53233

Phone: (414) 288-0771

Specialties

Specialty Code Primary License
Dentist - Periodontics 1223P0300X Yes 11-875 (WI)

Frequently Asked Questions

NPI 1164436150 is the National Provider Identifier for DR. MOAWIA KASSAB, DDS, MS, a Dentist - Periodontics provider located in Milwaukee, WI. This NPI was enumerated on July 28, 2006.
DR. MOAWIA KASSAB, DDS, MS practices at 1801 W WISCONSIN AVE, MARQUETTE UNIVERSITY, DENTAL SCHOOL, SURGICAL SCIENCES, Milwaukee, WI 53233.

Quick Facts

NPI
1164436150
Type
Individual
Enumerated
Jul 28, 2006
Last Updated
Jul 8, 2007

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