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ASSAL ABDOSSALEHI
Pediatric Dentistry >> Dentist >> Dental ProvidersRegistrant NPI Number: 1447614599
Individual Registrant: ASSAL ABDOSSALEHI
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1400 W OLIVE AVE BURBANK, CA 91506 US
Tel: 718-918-3419 Fax: --
Tel: 718-918-3419 Fax: --
Contact information for business:
1400 PELHAM PKWY S BUILDING #1 SUITE 3NE1 BRONX, NY 10461-1138 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1447614599
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223P0221X | Dental Providers Dentist Pediatric Dentistry | CA | DDS102754 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
