Individual
DR. JOAN OTOMO-CORGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
1127 WILSHIRE BLVD, SUITE #1110, LOS ANGELES, CA 90017-3901
(213) 481-0664
(213) 481-2902
Mailing address
2900 MANHATTAN AVE, MANHATTAN BEACH, CA 90266-2051
(310) 546-3239
(310) 545-4485
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
25754
CA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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