Individual
BASSEM ASSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3635 E 1ST ST, LOS ANGELES, CA 90063-2345
(323) 269-7367
Mailing address
PO BOX 3430, FULLERTON, CA 92834-3430
(323) 269-7367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42801
CA
Other
Enumeration date
12/04/2006
Last updated
04/27/2009
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