Individual
DR. DANIEL BACQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
17214 SATICOY ST, VAN NUYS, CA 91406-2103
(818) 708-9909
Mailing address
17250 RAYEN ST, SHERWOOD FOREST, CA 91325-2919
(818) 625-6044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64654
CA
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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