Individual
COELI TUVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
312 N GAFFEY ST, SUITE 201, SAN PEDRO, CA 90731-1955
(310) 833-7348
Mailing address
312 N GAFFEY ST, SUITE 201, SAN PEDRO, CA 90731-1955
(310) 833-7348
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55719
CA
Other
Enumeration date
07/20/2007
Last updated
04/02/2012
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