Individual
BASSAM MICHIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
515 N I ST, MADERA, CA 93637-3070
(559) 673-2268
(559) 673-2226
Mailing address
515 N I ST, MADERA, CA 93637-3070
(559) 673-2268
(559) 673-2226
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57401
CA
Other
Enumeration date
07/26/2008
Last updated
04/24/2025
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