| Doctor Name: | JOHN R KASHMANIAN |
| NPI Number: | 1538129978 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DMD |
| License Number: | 007615 |
| Business Practice Address: | 55 Everett Street Southbridge, MA - 01550 |
| Business Phone Number: | 5087650099 |
| Business Fax Number: | 5087650091 |
| Mailing Address: | 55 Everett Street, SOUTHBRIDGE |
| State: | MA |
| Postal Code: | 01550 |
| Phone Number: | 5087650099 |
| Fax Number: | 5087650091 |
| NPI Enumeration Date: | 03/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | 007615 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |