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Organization
MARITONE SUANSING-OLAER, DDS, INC.
Active
Organization
MARITONE SUANSING-OLAER, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN V. TECSON (TREATMENT COORDINATOR)
(323) 257-4086
Entity
Organization
Contact information
Practice address
4867 EAGLE ROCK BLVD STE A, LOS ANGELES, CA 90041-2657
(323) 257-4086
(323) 257-4181
Mailing address
4867 EAGLE ROCK BLVD STE A, LOS ANGELES, CA 90041-2657
(323) 257-4086
(323) 257-4181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55264
CA
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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