Individual
DR. BADR FADEL BARSOUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
2326 HUNTINGTON DR, SAN MARINO, CA 91108-2641
(626) 287-8103
(626) 285-2646
Mailing address
2326 HUNTINGTON DR, SAN MARINO, CA 91108-2641
(626) 287-8103
(626) 285-2646
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25478
CA
Other
Enumeration date
01/13/2006
Last updated
04/15/2011
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