Individual
DR. JOANNA CORY ACETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90010-2814
(323) 361-3558
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02656600
NJ
122300000X
Dentist
DDS100902
CA
1223P0221X
Pediatric Dentistry
Primary
DDS100902
CA
Other
Enumeration date
06/02/2014
Last updated
06/21/2018
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