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Organization
NARISSA AMBATA DDS INC
Active
Organization
NARISSA AMBATA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NARISSA BAWALAN AMBATA DDS (OWNER)
(323) 560-8999
Entity
Organization
Contact information
Practice address
4509 SLAUSON AVE, SUITE B, MAYWOOD, CA 90270-2954
(323) 560-8999
Mailing address
4509 SLAUSON AVE, SUITE B, MAYWOOD, CA 90270-2954
(323) 560-8999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61070
CA
Other
Enumeration date
05/09/2014
Last updated
04/15/2019
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