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Organization
MIRIAM BUENAVENTURA DENTAL CORPORATION
Active
Organization
MIRIAM BUENAVENTURA DENTAL CORPORATION
Active
Other names
miriam buenaventura dmd dental office
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO LINSANGAN (OPERATIONS AND FINANCE MANAGER)
(323) 256-6428
Entity
Organization
Contact information
Practice address
5031 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-1923
(323) 256-6428
(323) 256-8439
Mailing address
5031 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-1923
(323) 256-6428
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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