Individual
DR. ARTURO IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2407 N BROADWAY AVE., LOS ANGELES, CA 90031-2218
(323) 221-3165
(323) 221-0112
Mailing address
2407 N BROADWAY, LOS ANGELES, CA 90031-2218
(323) 221-3165
(323) 221-0112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B31287-01
DENTICAL
CA
Enumeration date
02/14/2007
Last updated
07/08/2007
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