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Organization
ENOMA ALADE, DDS, INC
Active
Organization
ENOMA ALADE, DDS, INC
Active
Other names
Canyon City Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ENOMA A ALADE DDS, MPH (OWNER DENTIST)
(626) 334-7310
Entity
Organization
Contact information
Practice address
706 NORTH AZUSA AVE, AZUSA, CA 91702-2507
(626) 334-7310
(626) 334-7311
Mailing address
706 NORTH AZUSA AVE, AZUSA, CA 91702-2507
(626) 334-7310
(626) 334-7311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G933866-01
—
CA
Enumeration date
03/11/2010
Last updated
03/11/2010
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