Organization
BENBASSAT DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BENBASSAT D.D.S, (PRESIDENT)
(949) 863-9620
Entity
Organization
Contact information
Practice address
4520 EXECUTIVE DR STE 340, SAN DIEGO, CA 92121-3020
(858) 677-0661
(949) 271-4931
Mailing address
20062 SW BIRCH ST, SUITE 220, NEWPORT BEACH, CA 92660-1518
(949) 863-9620
(949) 271-4931
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/12/2010
Last updated
01/10/2012
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