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Organization
DR. SUSAN S. GOMEZ-BABA
Active
Organization
DR. SUSAN S. GOMEZ-BABA
Active
Parent organization
SUSAN S. GOMEZ-BABA, DMD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUSAN S. GOMEZ-BABA, DMD
Authorized official
DR. SUSAN S GOMEZ-BABA (DENTIST/OWNER)
(323) 660-8778
Entity
Organization
Contact information
Practice address
330 N VERMONT AVE, LOS ANGELES, CA 90004-3511
(323) 660-8778
(323) 660-8779
Mailing address
330 N VERMONT AVE, LOS ANGELES, CA 90004-3511
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
36545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B36545-02
DENTI-CAL
CA
Enumeration date
10/01/2009
Last updated
10/01/2009
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