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Wally Bashawaty, DDS

NPI 1780721621 · on the registry since 2007 · sole proprietor

Practice

Address
1501 Superior Ave Ste 306
Newport Beach, CA 92663
Phone
(949) 645-8222
Fax
(949) 645-3111
Organisation at this address
Dena Amr Md Inc
Mg Allergy, Inc.
Aisthetikos, Inc
Bonnie V. Bock Md
Mark D Gaon Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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