RUSSEL DASALLA

SAN FERNANDO, CA
NPI1336524305
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  64643)
Enumeration Date2015-07-20
Last Update Date2015-07-20
Business Address
-- RUSSEL DASALLA DMD
12898 ADELPHIA AVE
SAN FERNANDO, CA 91340-1047
Phone number: 818-350-3212
Mailing Address
-- RUSSEL DASALLA DMD
12898 ADELPHIA AVE
SAN FERNANDO, CA 91340-1047
Phone number: 818-350-3212
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