Individual
MR. JORGE LUIS NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5048 LONG BEACH AVE #460, LOS ANGELES, CA 90058
(323) 585-8940
Mailing address
5048 LONG BEACH AVE #460, LOS ANGELES, CA 90058
(323) 585-8940
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
4480889
CA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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