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Organization
GONZALO CORZO, D.D.S. A PROFESSIONAL CORPORATION
Active
Organization
GONZALO CORZO, D.D.S. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GONZALO CORZO D.D.S. (PRESIDENT/CEO)
(323) 798-5427
Entity
Organization
Contact information
Practice address
875 N WESTERN AVE, LOS ANGELES, CA 90029-3759
(323) 798-5427
(323) 798-5442
Mailing address
875 N WESTERN AVE, LOS ANGELES, CA 90029-3759
(323) 798-5427
(323) 798-5442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52366
CA
Other
Enumeration date
02/11/2011
Last updated
05/12/2011
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