Individual
BRIAN SCOTT ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2720 CIMARRON ST, LOS ANGELES, CA 90018-2536
(310) 429-0131
Mailing address
PO BOX 18423, LOS ANGELES, CA 90018-0423
(310) 429-0131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109202
CA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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