Individual
EDGAR MONARREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDA
Contact information
Practice address
2604 S VERMONT AVE, LOS ANGELES, CA 90007-2298
(323) 731-3333
Mailing address
2604 S VERMONT AVE STE F, LOS ANGELES, CA 90007-2298
(323) 731-3333
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
90001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90001
DENTAL
CA
05
—
90001
—
CA
Enumeration date
08/07/2019
Last updated
08/07/2019
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