Individual
DR. ANTHONY ATALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15109 MANZANARES RD, LA MIRADA, CA 90638-3945
(562) 708-9494
Mailing address
15109 MANZANARES RD, LA MIRADA, CA 90638-3945
(562) 708-9494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
106822
CA
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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