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1871117507
SHADY WASSIF
HUNTINGTON BEACH, CA
NPI
1871117507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 106321)
Additional Taxonomies
122300000X Dentist
(Licence: IL 019.032607)
Enumeration Date
2020-05-28
Last Update Date
2022-03-30
Business Address
Dr. SHADY WASSIF DMD
16141 BOLSA CHICA ST STE C
HUNTINGTON BEACH, CA 92649-2458
Phone number: 714-846-1386
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Mailing Address
Dr. SHADY WASSIF DMD
CLEOPATRADENTAL 16141 BOLSA CHICA ST STE C
HUNTINGTON BEACH, CA 92649
Phone number: 714-846-1386
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