| Dr. Suraiya A.kasu Bds Pa | |
|
801 W Oak St Ste 102 Kissimmee FL 34741-6605 | |
| (407) 846-2494 | |
| (407) 846-2895 |
| Full Name | Dr. Suraiya A.kasu Bds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 801 W Oak St Ste 102, Kissimmee, Florida |
| Authorized Official Name and Position | Suraiya A Kasu (PRESIDENT) |
| Authorized Official Contact | 4078462494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Suraiya A.kasu Bds Pa 801 W Oak St Ste 102 Kissimmee FL 34741-6605 Ph: (407) 846-2494 | Dr. Suraiya A.kasu Bds Pa 801 W Oak St Ste 102 Kissimmee FL 34741-6605 Ph: (407) 846-2494 |
| NPI Number | 1780958355 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 02/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780958355 | NPI | - | NPPES |
| 077289500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9376 (Florida) | Primary |
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