Individual
ANA BUENDIA WANNARKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 W 34TH ST, DEN 4230 M/C 0641, LOS ANGELES, CA 90089-0641
(213) 740-8663
Mailing address
925 W 34TH ST, DEN 4230 M/C 0641, LOS ANGELES, CA 90089-0641
(213) 740-8663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60194063
WA
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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