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Organization
EVEREST DENTAL CARE INC
Active
Organization
EVEREST DENTAL CARE INC
Active
Other names
Everest Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN POCHOLO B CANCIO DDS (PRESIDENT)
(323) 423-5860
Entity
Organization
Contact information
Practice address
2050 S. CENTRAL AVE., LOS ANGELES, CA 90011
(323) 423-5860
Mailing address
PO BOX 17665, BEVERLY HILLS, CA 90209-3665
(323) 423-5860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56585
CA
Other
Enumeration date
08/05/2010
Last updated
11/05/2019
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