Individual
EILEEN PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13901 HAWTHORNE BLVD, HAWTHORNE, CA 90250-7001
(310) 675-5050
Mailing address
15313 1/2 FREEMAN AVE, LAWNDALE, CA 90260-2133
(424) 217-9088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53845
CA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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