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Organization
LATA G BERI DDS
Active
Organization
LATA G BERI DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATA GATHWALA BERI DDS (OWNER DENTIST)
(626) 442-5678
Entity
Organization
Contact information
Practice address
10496 GARVEY AVE, EL MONTE, CA 91733
(626) 442-5678
(626) 442-4377
Mailing address
10496 GARVEY AVE, EL MONTE, CA 91733
(626) 442-5678
(626) 442-4377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G-92854-01
—
CA
Enumeration date
03/01/2010
Last updated
03/01/2010
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