Individual
MARIELA PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
925 W 34TH STREET HERMAN OSTROW SCHOOL OF DENTISTRY, LOS ANGELES, CA 90089-0001
(213) 740-2696
Mailing address
8700 PERSHING DR UNIT 4321, PLAYA DEL REY, CA 90293-8017
(310) 307-6863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60809187
WA
1223X2210X
Orofacial Pain Dentistry
Primary
103511
CA
Other
Enumeration date
02/01/2019
Last updated
11/29/2021
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