| Charles A. Kass Dds,ms,sc | |
|
12720 W North Ave Brookfield WI 53005-4637 | |
| (262) 784-7680 | |
| (262) 784-7688 |
| Full Name | Charles A. Kass Dds,ms,sc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 12720 W North Ave, Brookfield, Wisconsin |
| Authorized Official Name and Position | Charles A Kass (PRESIDENT) |
| Authorized Official Contact | 2627847680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A. Kass Dds,ms,sc 12720 W North Ave Brookfield WI 53005-4637 Ph: (262) 784-7680 | Charles A. Kass Dds,ms,sc 12720 W North Ave Brookfield WI 53005-4637 Ph: (262) 784-7680 |
| NPI Number | 1679656979 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 06/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679656979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 5000531015 (Wisconsin) | Primary |
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