Individual provider · NPI-1

Dr. Raed Shafia Al Kasem, DDS MS

Dentist, Endodontics · Clearwater, FL

NPI number1306996384
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1306996384
Entity type
Individual (NPI-1)
Name
Dr. Raed Shafia Al Kasem
Credential
DDS MS
Sex
Male
Sole proprietor
No
Enumeration date
Jan 11, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223E0200X Dentist, EndodonticsDN12183FLYes

Practice location

3165 Mcmullen Booth Rd
Bldg A Suite #2
Clearwater, FL 33761-2032

Phone 727-796-2183 · Fax 727-726-8827

Mailing address

3165 Mcmullen Booth Rd
Bldg A Suite #2
Clearwater, FL 33761-2032

Phone 727-796-2183 · Fax 727-726-8827

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