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Organization
RAYMUNDO DENTAL PRACTICE INC
Active
Organization
RAYMUNDO DENTAL PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONALYN T. RAYMUNDO D.D.S. (DENTIST, OWNER, PRESIDENT)
(626) 359-4595
Entity
Organization
Contact information
Practice address
170 E FOOTHILL BLVD STE B, ARCADIA, CA 91006-2569
(626) 359-4595
(626) 359-4596
Mailing address
170 E FOOTHILL BLVD STE B, ARCADIA, CA 91006-2569
(626) 359-4595
(626) 359-4596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40194
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
833572
UNITED CONCORDIA PROVIDER
CA
05
—
B40194-01
—
CA
Enumeration date
01/04/2011
Last updated
01/28/2011
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