Individual
ASSAL ABDOSSALEHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W OLIVE AVE, BURBANK, CA 91506
(718) 918-3419
Mailing address
1400 PELHAM PKWY S, BUILDING #1 SUITE 3NE1, BRONX, NY 10461-1138
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS102754
CA
Other
Enumeration date
04/05/2016
Last updated
08/22/2018
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