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Russel Dasalla, DMD
General Practice Dentistry in San Fernando, California
NPI 1336524305

Russel Dasalla is a General Practice Dentistry based in San Fernando, CA and is specialized in General Practice. Russel Dasalla practices in San Fernando, CA and has the professional credentials of DMD. The NPI Number for Russel Dasalla is 1336524305 and holds a License No. 64643 (California).

The current practice location address for Russel Dasalla is 12898 Adelphia Ave, San Fernando, CA and can be reached out via phone at 818-350-3212.

Location: 12898 Adelphia Ave, San Fernando, CA, 91340-1047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336524305
Provider Name
Russel Dasalla
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
12898 Adelphia Ave, San Fernando, CA, 91340-1047
Phone Number
818-350-3212
Fax Number
Provider Enumeration Date
07/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12898 Adelphia Ave
City
San Fernando
State
California
Zip
91340-1047
Phone Number
818-350-3212
Fax Number
person
Provider Business Mailing Address Details
Address
12898 Adelphia Ave
City
San Fernando
State
California
Zip
91340-1047
Phone Number
818-350-3212
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
64643 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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