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Organization
UTIBE EFFIOM DDS, INC.
Active
Organization
UTIBE EFFIOM DDS, INC.
Active
Other names
Leimert Dental Practice of Utibe Effiom DDS, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UTIBE EFFIOM DDS (PRESIDENT)
(310) 397-1064
Entity
Organization
Contact information
Practice address
3991 S WESTERN AVE, #7, LOS ANGELES, CA 90062-1193
(310) 397-1064
Mailing address
PO BOX 341935, LOS ANGELES, CA 90034-8983
(310) 397-1064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54249
CA
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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