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Organization

LILIANA IBARRA A PROFESSIONAL CORPORATION

Active
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Organization

LILIANA IBARRA A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LILIANA IBARRA DDS (OWNER/DENTIST)
(323) 265-4373
Entity
Organization

Contact information

Practice address
2063 S ATLANTIC BLVD STE D, MONTEREY PARK, CA 91754-6345
(323) 265-4373
Mailing address
3622 MOUNTAIN VIEW AVE, PASADENA, CA 91107-4618
(626) 616-5405

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39814
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
B3981401
CA
Enumeration date
09/16/2015
Last updated
09/16/2015
About Stedi
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