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
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DI0 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.