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Organization
DAVID CEDENO MD DDS PROFESSIONAL CORPORATION
Active
Organization
DAVID CEDENO MD DDS PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANN BOONNARAGORN (OFFICE MANAGER)
(213) 270-3235
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 1510, LOS ANGELES, CA 90017-4006
(213) 977-0943
(213) 977-0139
Mailing address
1127 WILSHIRE BLVD STE 1510, LOS ANGELES, CA 90017-4006
(213) 977-0943
(213) 977-0139
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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