Organization
ALEXANDER VASSERMAN DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER VASSERMAN I D.D.S., B.S. (CEO)
(323) 931-8400
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD STE 1602, LOS ANGELES, CA 90048-5817
(323) 931-8400
Mailing address
6200 WILSHIRE BLVD STE 1602, LOS ANGELES, CA 90048-5817
(323) 931-8400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42014
CA
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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