Individual
SERGIO MACHADO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4149 TWEEDY BLVD, SUITE J, SOUTH GATE, CA 90280-6167
(323) 807-7404
Mailing address
8442 SAN LUIS SVE, SOUTH GATE, CA 90280
(333) 807-7404
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
58435
CA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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