WALLY BASHAWATY

NEWPORT BEACH, CA
NPI1780721621
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  45429)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
-- WALLY BASHAWATY DDS
1501 SUPERIOR AVE STE 306
NEWPORT BEACH, CA 92663-3641
Phone number: 949-645-8222
Mailing Address
-- WALLY BASHAWATY DDS
1501 SUPERIOR AVE STE 306
NEWPORT BEACH, CA 92663-3641
Phone number: 949-645-8222
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