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Organization
SANTA CLARA DENTAL
Active
Organization
SANTA CLARA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERTA LETICIA GALVEZ DDS (DENTIST)
(323) 294-9600
Entity
Organization
Contact information
Practice address
4126 CRENSHAW BLVD, LOS ANGELES, CA 90008-2549
(323) 294-9600
Mailing address
4126 CRENSHAW BLVD, LOS ANGELES, CA 90008-2549
(323) 294-9600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56689
CA
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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