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Emad W Bassali, DDS Valid NPI

Individual provider · Endodontics · Sherman Oaks, CA

NPI
1104946458
Type
Individual (Type 1)
Primary specialty
Endodontics (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223E0200X
License number
41894 (CA)
Sex
Male
Sole proprietor
Yes
Enumerated
2007-03-30
Last updated
2007-07-08
Practice location
4940 Van Nuys Blvd Ste 101
Sherman Oaks, CA 91403-1773
(818) 789-2200

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