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Organization
NELLY A PARAYNO DMD INC
Active
Organization
NELLY A PARAYNO DMD INC
Active
Other names
Hacienda Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELLY A PARAYNO DMD (OWNER PRESIDENT)
(626) 917-5980
Entity
Organization
Contact information
Practice address
1855 N HACIENDA BLVD, LA PUENTE, CA 91744
(626) 917-5980
(626) 917-5980
Mailing address
1855 N HACIENDA BLVD, LA PUENTE, CA 91744
(626) 917-5980
(626) 917-5980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D39062
DENTICAL
CA
Enumeration date
01/16/2007
Last updated
08/22/2020
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