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Provider Information for 1033412697



KIUMARS KARBASI DDS

Gender: MALE

Individual NPI: 1033412697

Calendar Last Updated: 2010-12-20

Details

Name Value
NPI 1033412697
Enumeration Date 2010-12-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 625 ELMWOOD AVE
ROCHESTER, NY 14620-2913
United States

Phone: 585-275-5051 | Fax:
View Map External Link
Primary Practice Address 625 ELMWOOD AVE
ROCHESTER, NY 14620-2913
United States

Phone: 585-275-5051 | Fax:
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 390200000X - Student in an Organized Health Care Education/Training Program
Other Identifiers
Issuer State Number