# LATA G BERI DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588986814
- **Authorized official:** MRS. LATA GATHWALA BERI DDS (OWNER DENTIST)
- **Authorized official phone:** (626) 442-5678

## Contact information

- **Practice address:** 10496 GARVEY AVE, EL MONTE, CA 91733
- **Practice address phone:** (626) 442-5678
- **Practice address fax:** (626) 442-4377
- **Mailing address:** 10496 GARVEY AVE, EL MONTE, CA 91733
- **Mailing address phone:** (626) 442-5678
- **Mailing address fax:** (626) 442-4377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 47451 | CA | Yes |

## Other

- **Enumeration date:** 03/01/2010
- **Last updated:** 03/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | G-92854-01 | — | CA |