Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Russel Dasalla, DMD

Individual provider General Practice Dentistry · NPI 1336524305

Russel Dasalla, DMD is a General Practice Dentistry in San Fernando, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

12898 Adelphia Ave
San Fernando, CA 91340-1047
Phone: (818) 350-3212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 64643 (CA)

Record details

NPI number1336524305
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 20, 2015
Last updated in NPPESJuly 20, 2015
Mailing address12898 Adelphia Ave, San Fernando, CA 91340-1047

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