Provider Demographics
NPI:1497826028
Name:KASSEM, AHMED YOUSRY (DDS)
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:YOUSRY
Last Name:KASSEM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7664 EVEREST PL
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-2140
Mailing Address - Country:US
Mailing Address - Phone:626-678-5950
Mailing Address - Fax:
Practice Address - Street 1:28401 BRADLEY RD STE C
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:CA
Practice Address - Zip Code:92586-3040
Practice Address - Country:US
Practice Address - Phone:951-679-0691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2025-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA408421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice