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1336524305
RUSSEL DASALLA
SAN FERNANDO, CA
NPI
1336524305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 64643)
Enumeration Date
2015-07-20
Last Update Date
2015-07-20
Business Address
-- RUSSEL DASALLA DMD
12898 ADELPHIA AVE
SAN FERNANDO, CA 91340-1047
Phone number: 818-350-3212
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Mailing Address
-- RUSSEL DASALLA DMD
12898 ADELPHIA AVE
SAN FERNANDO, CA 91340-1047
Phone number: 818-350-3212
Copy
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