Individual
DR. ALIDA BRSCIC-BIASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
545 W. 9TH ST, SUITE #3, SAN PEDRO, CA 90731-3131
(310) 514-2717
(310) 514-2717
Mailing address
545 W. 9TH STREET, SUITE #3, SAN PEDRO, CA 90731-3131
(310) 514-2717
(310) 514-2717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36056
CALIFORNIA LICENSE NUMBER
CA
Enumeration date
09/06/2006
Last updated
07/08/2007
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