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Organization
JOSE EDUARDO LARA DDS INC
Active
Organization
JOSE EDUARDO LARA DDS INC
Active
Other names
ATWOOD FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE EDUARDO LARA DDS (PRESIDENT)
(714) 993-2768
Entity
Organization
Contact information
Practice address
1651 E ORANGETHORPE AVE, PLACENTIA, CA 92870-6629
(714) 993-2768
(714) 993-2775
Mailing address
1651 E ORANGETHORPE AVE, PLACENTIA, CA 92870-6629
(714) 993-2768
(714) 993-2775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44205
CA
Other
Enumeration date
12/11/2006
Last updated
06/23/2016
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