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Organization
MAANAVI FAMILY DENTISTRY, INC.
Active
Organization
MAANAVI FAMILY DENTISTRY, INC.
Active
Other names
TLC Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MAANAVI DDS (MANAGING DENTIST)
(626) 968-9601
Entity
Organization
Contact information
Practice address
161 S HACIENDA BLVD, CITY OF INDUSTRY, CA 91745-1102
(714) 926-0327
Mailing address
161 S HACIENDA BLVD, CITY OF INDUSTRY, CA 91745-1102
(714) 926-0327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
02/24/2020
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