Individual
DANIELA ORELLANA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 MEDICAL PLZ, SUITE 350, LOS ANGELES, CA 90095-0001
(310) 794-5750
Mailing address
1658 1/2 MANNING AVE, LOS ANGELES, CA 90024-5887
(310) 206-1004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
SP278
CA
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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