Individual
DR. HECTOR M CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1712 W BEVERLY BLVD STE 101, MONTEBELLO, CA 90640-3900
(323) 727-6944
Mailing address
1712 W BEVERLY BLVD STE 101, MONTEBELLO, CA 90640-3900
(323) 727-6944
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
104739
CA
Other
Enumeration date
07/17/2017
Last updated
08/26/2020
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