NPI 1003023029

Takehiro Kasahara, DMD

Practitioner Oral and Maxillofacial Surgery (Dentist) New York, NY

Practice location

Address: 1111 Amsterdam Ave, New York, NY 10025
Phone: (212) 523-3171
Fax: (212) 523-2447
Mailing address: 1111 Amsterdam Ave, New York, NY 10025-1716

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 054862 (NY)

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Registry record

NPI: 1003023029
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2007
Record last updated: 14 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.