DR. Badr Fadel Barsoum, DENTIST

NPI #1558340976 in San Marino, California

Provider Information

NPI Number: 1558340976
Entity Type: Individual
Name: DR. Badr Fadel Barsoum, DENTIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DENTIST
Enumeration Date: Jan 13, 2006
Last Updated: Apr 15, 2011

Practice Location

Address: 2326 HUNTINGTON DR
City: San Marino
State: California
ZIP Code: 91108-2641
Phone: (626) 287-8103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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