Individual
KARA ASHLEY BUSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30035 HAUN RD, MENIFEE, CA 92584-6805
(951) 225-3324
Mailing address
25940 ALAMO CT, MENIFEE, CA 92584-2618
(951) 355-5318
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA88355
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA88355
—
CA
Enumeration date
04/16/2018
Last updated
04/16/2018
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