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Organization

COELI TUVERA DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COELI TUVERA DDS (DENTIST/ OWNER)
(310) 833-7348
Entity
Organization

Contact information

Practice address
312 N GAFFEY ST, SUITE 201, SAN PEDRO, CA 90731-1955
(310) 833-7348
(310) 833-0697
Mailing address
312 N GAFFEY ST, SUITE 201, SAN PEDRO, CA 90731-1955
(310) 833-7348
(310) 833-0697

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55719
CA

Other

Enumeration date
04/01/2012
Last updated
04/02/2012
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