Individual
MARIE CLAIRE MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
709 S CENTRAL AVE, SUITE B, GLENDALE, CA 91204-2010
(818) 500-7030
(818) 500-7040
Mailing address
615 CLINTON PL, BEVERLY HILLS, CA 90210-1917
(310) 497-7881
(310) 858-8333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51283
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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