Organization
GUADALUPE L PEREIRA A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TERESA CARRETTA (ADMINISTRATIVE ASSISTANT)
(562) 715-6135
Entity
Organization
Contact information
Practice address
144 W CARSON ST, CARSON, CA 90745-2601
(310) 835-4088
Mailing address
144 W CARSON ST, CARSON, CA 90745-2601
(310) 835-4088
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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