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Organization
SAN ANGEL DENTAL MANAGEMENT COMPANY
Active
Organization
SAN ANGEL DENTAL MANAGEMENT COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIA LARISSA ANCHETA DDS (PARTNER)
(562) 927-9050
Entity
Organization
Contact information
Practice address
8720 GARFIELD AVE, SUITE #104, SOUTH GATE, CA 90280-3720
(562) 927-9050
(562) 927-9060
Mailing address
8720 GARFIELD AVE, SUITE #104, SOUTH GATE, CA 90280-3720
(562) 927-9050
(562) 927-9060
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
47839
CA
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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