Individual
CHARISMA FLORES LASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4708 N GRAND AVE, COVINA, CA 91724-2005
(626) 332-8608
(626) 332-8216
Mailing address
4708 N GRAND AVE, COVINA, CA 91724-2005
(626) 332-8608
(626) 332-8216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54169
CA
Other
Enumeration date
09/04/2007
Last updated
07/26/2014
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