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Organization
NELLY A. PARAYNO, D.M.D., INC.
Active
Organization
NELLY A. PARAYNO, D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELLY ARCAMO PARAYNO D.M.D (PRESIDENT/OWNER)
(626) 480-1598
Entity
Organization
Contact information
Practice address
1433 W MERCED AVE, SUITE 206, WEST COVINA, CA 91790-3402
(626) 480-1598
(626) 480-1509
Mailing address
1433 W MERCED AVE, SUITE 206, WEST COVINA, CA 91790-3402
(626) 480-1598
(626) 480-1509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39062
DENTAL BOARD OF CALIFORNIA LICENSE NUMBER
CA
Enumeration date
07/02/2014
Last updated
07/02/2014
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