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Organization
LSCJ
Active
Organization
LSCJ
Active
Parent organization
BRANDON V. CUCCIA, DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRANDON V. CUCCIA, DDS
Authorized official
VIOLETA J NARVAEZ (OFFICE MANAGER)
(626) 287-0797
Entity
Organization
Contact information
Practice address
2384 HUNTINGTON DR, SAN MARINO, CA 91108-2641
(626) 286-6680
(626) 286-7619
Mailing address
2384 HUNTINGTON DR, SAN MARINO, CA 91108-2641
(626) 286-6680
(626) 286-7619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38175
CA
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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