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Individual

CHRISTIAN MATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 S SEPULVEDA BLVD STE 280, MANHATTAN BEACH, CA 90266-6866
(310) 406-0745
Mailing address
12146 ABINGTON ST, RIVERSIDE, CA 92503-5995

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111655
CA

Other

Enumeration date
11/11/2025
Last updated
11/19/2025
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