Dr. Mohanamuralikrishna Kasam, DMD
Dentist, General Practice in Milwaukee, WI. Individual provider (NPI-1).
NPI number1669959995
StatusActive
Last updated in NPPESJul 19, 2018
Details
- NPI
- 1669959995
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mohanamuralikrishna Kasam
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2018
- Last updated
- Jul 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 100189115 | WI | Yes |
Practice location
3113 S 13th StMilwaukee, WI 53215-4609
Phone 614-477-5665
Mailing address
8716 S Wood Creek Dr Apt 2Oak Creek, WI 53154-7507
Phone 414-217-9774
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