Provider Demographics
NPI:1952635799
Name:D KASZETA INC
Entity Type:Organization
Organization Name:D KASZETA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KASZETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-240-2693
Mailing Address - Street 1:10164 OLD KENT LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-1612
Mailing Address - Country:US
Mailing Address - Phone:248-240-2693
Mailing Address - Fax:
Practice Address - Street 1:10164 OLD KENT LN
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-1612
Practice Address - Country:US
Practice Address - Phone:248-240-2693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-27
Last Update Date:2009-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty