Individual
MAXIME BACHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1941 HUNTINGTON DR STE H, SOUTH PASADENA, CA 91030-4995
(626) 685-7882
Mailing address
1941 HUNTINGTON DR STE H, SOUTH PASADENA, CA 91030-4995
(626) 658-7882
(626) 658-7882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
100739
CA
1223E0200X
Endodontics
Primary
100739
CA
Other
Enumeration date
08/24/2016
Last updated
09/21/2023
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