Individual
DANIEL BANDARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6280 W 3RD ST APT 423, LOS ANGELES, CA 90036-7627
(818) 430-0119
Mailing address
6280 W 3RD ST APT 423, LOS ANGELES, CA 90036-7627
(818) 430-0119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107388
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DR61068962
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
01/05/2023
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