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Organization
MONROVIA 858 LLC
Active
Organization
MONROVIA 858 LLC
Active
Other names
Monrovia Gentle Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LOUIS SAVERY (PRACTICE CONSUTANT)
(818) 987-1771
Entity
Organization
Contact information
Practice address
858 W FOOTHILL BLVD STE C, MONROVIA, CA 91016-1998
(818) 987-1771
Mailing address
858 W FOOTHILL BLVD STE C, MONROVIA, CA 91016-1998
(818) 987-1771
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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