Assal Abdossalehi
Individual provider Active NPI Pediatric Dentistry · Burbank, CA
NPI 1447614599 · NPPES record last updated Aug 22, 2018
Key facts
- NPI
- 1447614599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- DDS102754 (CA)
- Practice address
- 1400 W Olive Ave
Burbank, CA 91506 - Phone
- (718) 918-3419
- NPI assigned
- Apr 5, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS102754 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assal Abdossalehi DDS Inc | Pediatric Dentistry | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DDS102754 | CA | Yes |
Addresses
Primary practice location
1400 W Olive Ave
Burbank, CA 91506
Mailing address
1400 Pelham Pkwy S
Building #1 Suite 3Ne1
Bronx, NY 10461-1138
Other providers in Burbank, CA
- ABA Health Center LLC
- Elisabeth Crawford Abbott
- Abby Comfort Care, LLC
- Abc Pharmaceutical Care Solutions, Apc
- Alaa E Abdel-Maqsoud
- Dickran Thomas Abdoyan
- Abdul H Bazzy
- Abdul Waheed, M.D., Inc.
- Maribelle B. Abergas
- Deo Abille
All providers in Burbank, CA · Pediatric Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.