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Individual

ALEX SADROSSADAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14550 HAYNES ST, VAN NUYS, CA 91411-1613
(818) 650-6700
Mailing address
2315 RIDGE FIELD TRL, RENO, NV 89523-6804
(775) 624-6518

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
102667
CA

Other

Enumeration date
07/03/2018
Last updated
11/27/2023
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