Organization
CRISTINE ZAPANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR CHAVEZ (ACCESS MANAGER)
(213) 483-4600
Entity
Organization
Contact information
Practice address
2105 BEVERLY BLVD STE 103, LOS ANGELES, CA 90057-2249
(213) 483-4600
Mailing address
2105 BEVERLY BLVD STE 103, LOS ANGELES, CA 90057-2249
(213) 483-4600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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