Individual
MICHELE GHASSEMLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7474 S CAMINO DE OESTE, TUCSON, AZ 85746-9308
(520) 883-5040
Mailing address
23460 STRATHERN ST, WEST HILLS, CA 91304-4457
(818) 480-1422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
GRADUATION MAY 2017
CA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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