Provider Demographics
NPI:1932309408
Name:KASAMALI, JASMIN M (DDS)
Entity Type:Individual
Prefix:DR
First Name:JASMIN
Middle Name:M
Last Name:KASAMALI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 HILLCROFT ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3106
Mailing Address - Country:US
Mailing Address - Phone:713-995-4000
Mailing Address - Fax:713-995-7226
Practice Address - Street 1:6400 HILLCROFT ST
Practice Address - Street 2:SUITE 106
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3106
Practice Address - Country:US
Practice Address - Phone:713-995-4000
Practice Address - Fax:713-995-7226
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1851990-15Medicaid
TX1851990-16Medicaid