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1215250600
MICHAEL BISSIRI
LAKE FOREST, CA
NPI
1215250600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 30328)
Enumeration Date
2010-03-12
Last Update Date
2010-03-12
Business Address
-- MICHAEL BISSIRI DDS
23321 EL TORO RD SUITE B
LAKE FOREST, CA 92630-4825
Phone number: 949-770-6966
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Mailing Address
-- MICHAEL BISSIRI DDS
23321 EL TORO ROAD SUITE B
LAKE FOREST, CA 92630
Phone number: 949-770-6966
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