Organization
MARY L. DIMYAN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY L. DIMYAN DDS (CEO)
(310) 427-4987
Entity
Organization
Contact information
Practice address
42 PASEO DE CASTANA, RANCHO PALOS VERDES, CA 90275-6385
(310) 427-4987
Mailing address
42 PASEO DE CASTANA, RANCHO PALOS VERDES, CA 90275-6385
(310) 427-4987
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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