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Individual

CARLOS GUSTAVO MOLINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DENTAL ASSISTANT

Contact information

Practice address
148 N HOOVER ST, LOS ANGELES, CA 90004-3626
(213) 858-2137
Mailing address
148 N HOOVER ST, LOS ANGELES, CA 90004-3626
(213) 858-2137

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
04/19/2010
Last updated
04/19/2010
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