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Organization
CITY TERRACE DENTAL
Active
Organization
CITY TERRACE DENTAL
Active
Other names
City Terrace Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AQUILEO MARTINEZ DDS (OWNER)
(323) 260-7173
Entity
Organization
Contact information
Practice address
3604 E 1ST ST, LOS ANGELES, CA 90063-2326
(323) 260-7173
(323) 927-2363
Mailing address
3604 E 1ST ST, LOS ANGELES, CA 90063-2326
(323) 260-7173
(323) 927-2363
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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