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ALYSSA BRASS
>> Dental Assistant >> Dental ProvidersRegistrant NPI Number: 1639782584
Individual Registrant: ALYSSA BRASS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
8522 C AVE APT 227 HESPERIA, CA 92345-5935 US
Tel: 909-225-2644 Fax: --
Tel: 909-225-2644 Fax: --
Contact information for business:
8522 C AVE APT 227 HESPERIA, CA 92345-5935 US
Tel: 909-225-2644 Fax: --
Tel: 909-225-2644 Fax: --
Registration Information:
NPI: 1639782584
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 126800000X | Dental Providers Dental Assistant |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 90283 | CA | 05 |
