Organization
MIRIAM BUENAVENTURA DENTAL CORPORATION
Active
Other names
miriam buenaventura dmd dental office
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO LINSANGAN (OPERATIONS AND FINANCE MANAGER)
(323) 256-6428
Entity
Organization
Contact information
Practice address
5031 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-1923
(323) 256-6428
(323) 256-8439
Mailing address
5031 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-1923
(323) 256-6428
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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