Most Relevant Information
Provider Data
| NPI Number: | 1003023029 |
| Provider Name: | TAKEHIRO KASAHARA D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223S0112X |
| Specialty: | Dentist |
| License Number: | 054862 |
Most Important Dates
| Enumeration Date: | 05/17/2007 |
| Last Updated: | 08/14/2018 |
Provider Practice Location
1111 AMSTERDAM AVE
NEW YORK
NY
10025
Practice Location Phone/Fax
| Phone: | 2125233171 |
| Fax: | 2125232447 |
Provider Mailing Location
1111 AMSTERDAM AVE
NEW YORK
NY
100251716
Provider Mailing Phone/Fax
| Phone: | 2125233171 |
| Fax: | 2125232447 |