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Organization
LEO JIREH C ABELITA DMD INC
Active
Organization
LEO JIREH C ABELITA DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO JIREH C ABELITA DMD (CEO PRESIDENT)
(310) 539-1224
Entity
Organization
Contact information
Practice address
1809 AND A HALF LOMITA BOULEVARD, LOMITA, CA 90717-1905
(310) 539-1224
(310) 530-5796
Mailing address
1809 AND A HALF LOMITA BOULEVARD, LOMITA, CA 90717-1905
(310) 539-1224
(310) 530-5796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9260602
DENTI CAL
CA
Enumeration date
04/18/2008
Last updated
04/18/2008
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