Provider Demographics
NPI:1962840694
Name:DOSSEN, JOSEPH SUNDEEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SUNDEEN
Last Name:DOSSEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E. OLIVE AVENUE
Mailing Address - Street 2:SUITE # 260
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-2171
Mailing Address - Country:US
Mailing Address - Phone:818-843-1648
Mailing Address - Fax:
Practice Address - Street 1:500 E. OLIVE AVENUE
Practice Address - Street 2:SUITE # 260
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91501-2171
Practice Address - Country:US
Practice Address - Phone:818-843-1648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice