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Organization
MARINA CORTINOVIS L. RIOS, DDS, INC.
Active
Organization
MARINA CORTINOVIS L. RIOS, DDS, INC.
Active
Other names
Marina Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARINA CORTINOVIS RIOS DDS (PRESIDENT)
(310) 827-7467
Entity
Organization
Contact information
Practice address
12732 W WASHINGTON BLVD STE D, LOS ANGELES, CA 90066-2378
(310) 827-7467
(310) 827-3388
Mailing address
12732 W WASHINGTON BLVD STE D, LOS ANGELES, CA 90066-2378
(310) 827-7467
(310) 827-3388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44770
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93393-01
DENTI-CAL
CA
Enumeration date
05/04/2007
Last updated
05/21/2019
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