Individual
DR. JOHANNA RITA BASSIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2565 ENTERPRISE RD STE 100, ORANGE CITY, FL 32763-8016
(386) 456-9101
Mailing address
5764 NW 56TH MNR, CORAL SPRINGS, FL 33067-3504
(561) 901-3526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29296
FL
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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