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Individual
DR. SHADY WASSIF
Active
Individual
DR. SHADY WASSIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032607
IL
122300000X
Dentist
Primary
106321
CA
Other
Enumeration date
05/28/2020
Last updated
03/30/2022
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