Individual
BASSEL AL KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 N GOLDEN STATE BLVD, TURLOCK, CA 95380-3953
(209) 634-0500
Mailing address
24969 PROSPECT AVE, LOMA LINDA, CA 92354-2842
(909) 252-9785
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64492
CA
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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