Individual
BAHER BASSILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
137 W CHAPMAN AVE, FULLERTON, CA 92832-1473
(949) 877-8554
Mailing address
63 BOMBAY, IRVINE, CA 92620-4806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS103106
CA
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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