Individual
EUGENIO AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
814 S HARVARD BLVD, APT 12, LOS ANGELES, CA 90005
(323) 239-2993
Mailing address
814 S HARVARD BLVD, APT 12, LOS ANGELES, CA 90005-2553
(323) 239-2993
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
1223P0700X
TX
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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