DR. Sam B Bassali, D.D.S.
NPI #1609963347 in Mount Prospect, Illinois
Provider Information
- NPI Number
- 1609963347
- Entity Type
- Individual
- Name
- DR. Sam B Bassali, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 407 W PROSPECT AVE
- City
- Mount Prospect
- State
- Illinois
- ZIP Code
- 60056-3059
- Phone
- (847) 394-4433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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