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Organization
MONICA PUENTES DDS, INC
Active
Organization
MONICA PUENTES DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA PUENTES (DENTIST)
(310) 670-7800
Entity
Organization
Contact information
Practice address
6222 W MANCHESTER AVE, STE. B, WESTCHESTER, CA 90045-3801
(310) 670-7800
(310) 670-7812
Mailing address
6222 W MANCHESTER AVE, WESTCHESTER, CA 90045-3801
(310) 670-7800
(310) 670-7812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9406901
DENTICAL
CA
Enumeration date
06/21/2007
Last updated
08/22/2020
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