Individual
DR. EMMANUEL BAKALBASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5025 E TRINDLE ROAD, MECHANICSBURG, PA 17050-3622
(717) 790-9921
Mailing address
5025 E TRINDLE ROAD, MECHANICSBURG, PA 17050-3622
(717) 790-9921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS022538L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182710
UNITED CONCORDIA
PA
Enumeration date
09/20/2006
Last updated
07/08/2007
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