Individual
MS. MARISSA MARGARET CARVALHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2780 SKYPARK DR STE 240, TORRANCE, CA 90505-5341
(424) 458-6007
(424) 337-8055
Mailing address
2780 SKYPARK DR STE 240, TORRANCE, CA 90505-5341
(424) 458-6007
(424) 337-8055
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS105922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
02/25/2019
Last updated
10/02/2024
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