DR. Chad Alan Kasperowski, D.M.D

NPI #1801870928 in Fairfax, Virginia

Provider Information

NPI Number: 1801870928
Entity Type: Individual
Name: DR. Chad Alan Kasperowski, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Dec 1, 2005
Last Updated: Jul 23, 2019

Practice Location

Address: 11198 LEE HIGHWAY
City: Fairfax
State: Virginia
ZIP Code: 22030
Phone: (703) 591-5637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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