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Individual

ANA M TELLERIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DENTAL ASSISTANT

Contact information

Practice address
5162 E WHITTIER BLVD, LOS ANGELES, CA 90022
(323) 415-6161
(323) 416-0675
Mailing address
420 N EVERGREEN AVE, APT 224, LOS ANGELES, CA 90033
(323) 495-8841

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
01/20/2009
Last updated
01/20/2009
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