Organization
ACEVDO DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIDYA SORAYA ACEVEDO D.D.S. (OWNER/DDS)
(323) 724-1010
Entity
Organization
Contact information
Practice address
709 W BEVERLY BLVD STE 201, MONTEBELLO, CA 90640-3600
(323) 724-1010
(323) 724-2203
Mailing address
709 W BEVERLY BLVD STE 201, MONTEBELLO, CA 90640-3600
(323) 724-1010
(323) 724-2203
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55423
CA
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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