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Organization
CENTRO MEDICO AND DENTAL INC
Active
Organization
CENTRO MEDICO AND DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIA SOUCHUTSKI (ADMINISTRATION)
(310) 383-9295
Entity
Organization
Contact information
Practice address
2417 S. SAN PEDRO ST., LOS ANGELES, CA 90011-1518
(213) 749-3934
(213) 749-0994
Mailing address
417 S WETHERLY DR., BEVERLY HILLS, CA 90211-3519
(310) 383-9295
(213) 749-0994
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
12/11/2025
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