Organization
MIA LARISSA ANCHETA, DDS, A DENTAL CORPORATION
Active
Other names
San Angel Dental, Office of Mia Ancheta, San Angel Dental Management Company, Mars Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MIA LARISSA ANCHETA DDS (CEO)
(562) 927-9050
Entity
Organization
Contact information
Practice address
8720 GARFIELD AVE STE 104, SOUTH GATE, CA 90280-3720
(562) 927-9050
(562) 927-9060
Mailing address
8720 GARFIELD AVE STE 104, SOUTH GATE, CA 90280-3720
(562) 927-9050
(562) 927-9060
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47839
CA
Other
Enumeration date
11/02/2016
Last updated
10/25/2022
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