Individual
DR. ALIZA AMSELLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
323 LINCOLN BLVD, VENICE, CA 90291-2842
(310) 392-4103
Mailing address
323 LINCOLN BLVD, VENICE, CA 90291-2842
(310) 392-4103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
112796
CA
Other
Enumeration date
05/11/2026
Last updated
05/14/2026
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