Bassam Ekram Michiel DDS INC

NPI #1710774492 in Madera, California

Provider Information

NPI Number: 1710774492
Entity Type: Organization
Organization Name: Bassam Ekram Michiel DDS INC
Primary Specialty: Dentist
Enumeration Date: Apr 24, 2025
Last Updated: Apr 24, 2025

Practice Location

Address: 515 N I ST
City: Madera
State: California
ZIP Code: 93637-3070
Phone: (559) 673-2268

Authorized Official

Name: BASSAM EKRAM MICHIEL, DDS
Title: OWNER
Phone: (559) 673-2268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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