Organization
COUTO DENTAL GROUP
Active
Other names
STARMOON DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA FLORES (OFFICE ADMIN)
(310) 634-5137
Entity
Organization
Contact information
Practice address
15628 BROOKHURST ST, WESTMINSTER, CA 92683-7573
(714) 839-6300
Mailing address
15628 BROOKHURST ST, WESTMINSTER, CA 92683-7573
(714) 839-6300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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