Individual provider · Type 1 NPI

Michael Kasselian, DDS

Pediatric Dentistry · Fort Lee, NJ

NPI number 1124113576 Active

Practice location

2500 Lemoine Avenue
Fort Lee, NJ 07024

Fax (201) 947-9275

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDI0 19376 (NJ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1124113576

Michael Kasselian, DDS's National Provider Identifier is 1124113576, issued on Oct 3, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Lee, NJ. The record was last updated on Jul 8, 2007.