Individual
DR. DARRELL BENNETT BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
835 AEROVISTA PL STE 210, SAN LUIS OBISPO, CA 93401-8741
(805) 543-4266
(805) 544-3950
Mailing address
835 AEROVISTA PL STE 210, SAN LUIS OBISPO, CA 93401-8741
(805) 543-4266
(805) 544-3950
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53496
CA
Other
Enumeration date
03/29/2007
Last updated
08/13/2013
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