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Mel-Anizi Abante Bersaba, DDS Valid NPI

Individual provider · General Practice Dentistry · Loma Linda, CA

NPI
1134736366
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
DDS102180 (CA)
Sex
Male
Sole proprietor
Yes
Enumerated
2020-10-01
Last updated
2020-10-01
Practice location
11092 Anderson St
Loma Linda, CA 92350-1706
(909) 558-8187

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