Search › California › 1223G0001X
Russel Dasalla, DMD
NPI 1336524305 · on the registry since 2015 · sole proprietor
Practice
- Address
- 12898 Adelphia Ave
San Fernando, CA 91340 - Phone
- (818) 350-3212
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California