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1780721621
WALLY BASHAWATY
NEWPORT BEACH, CA
NPI
1780721621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 45429)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- WALLY BASHAWATY DDS
1501 SUPERIOR AVE STE 306
NEWPORT BEACH, CA 92663-3641
Phone number: 949-645-8222
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Mailing Address
-- WALLY BASHAWATY DDS
1501 SUPERIOR AVE STE 306
NEWPORT BEACH, CA 92663-3641
Phone number: 949-645-8222
Copy
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