Organization
EDMOND RASSIBI, D.M.D., PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMOND RASSIBI DMD (CEO)
(818) 883-6634
Entity
Organization
Contact information
Practice address
21712 SHERMAN WAY, CANOGA PARK, CA 91303-1931
(818) 883-6634
(818) 839-5626
Mailing address
21712 SHERMAN WAY, CANOGA PARK, CA 91303-1931
(818) 883-6634
(818) 839-5626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54596
CA
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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