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Organization
G C DELAOSA AND R P CASANOVA DDS DENTAL CORP.
Active
Organization
G C DELAOSA AND R P CASANOVA DDS DENTAL CORP.
Active
Other names
SUNSHINE DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MORENO (H/R)
(626) 579-4274
Entity
Organization
Contact information
Practice address
4161 TYLER AVE, EL MONTE, CA 91731-1966
(626) 579-4274
(626) 579-4294
Mailing address
4161 TYLER AVE, EL MONTE, CA 91731-1966
(626) 579-4274
(626) 579-4294
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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