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Individual

DR. DAIVA BARTULIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
8500 WILSHIRE BLVD., SUITE1004, BEVERLY HILLS, CA 90211-3102
(310) 659-1510
Mailing address
4159 PUNTA ALTA DR, LOS ANGELES, CA 90008-1144
(310) 940-5174
(310) 659-1302

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47449
CA

Other

Enumeration date
04/06/2017
Last updated
04/06/2017
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