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Organization
CAROLYN CANCIO DDS INC
Active
Organization
CAROLYN CANCIO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN CANCIO DDS (PRESIDENT)
(323) 661-8001
Entity
Organization
Contact information
Practice address
1300 N VERMONT AVE, SUITE 801, LOS ANGELES, CA 90027-6005
(323) 661-8001
(323) 661-8009
Mailing address
1300 N VERMONT AVE, SUITE 801, LOS ANGELES, CA 90027-6005
(323) 661-8001
(323) 661-8009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
42282
CA
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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