# ALEXANDER VASSERMAN DDS A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215292883
- **Authorized official:** DR. ALEXANDER VASSERMAN I D.D.S., B.S. (CEO)
- **Authorized official phone:** (323) 931-8400

## Contact information

- **Practice address:** 6200 WILSHIRE BLVD STE 1602, LOS ANGELES, CA 90048-5817
- **Practice address phone:** (323) 931-8400
- **Mailing address:** 6200 WILSHIRE BLVD STE 1602, LOS ANGELES, CA 90048-5817
- **Mailing address phone:** (323) 931-8400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 42014 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2012
- **Last updated:** 07/10/2012