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Organization
FRANCISCO ILEM JR DMD INC.
Active
Organization
FRANCISCO ILEM JR DMD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEFINA ILEM (SECRETARY)
(323) 464-0489
Entity
Organization
Contact information
Practice address
1253 VINE ST STE 18, LOS ANGELES, CA 90038-1662
(323) 464-0489
Mailing address
1253 VINE ST STE 18, LOS ANGELES, CA 90038-1662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386784999
DENTICAL
CA
Enumeration date
10/02/2014
Last updated
10/02/2014
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