Organization
ACEVEDO DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA MALTEZ (OFFICE MANAGER)
(323) 724-1010
Entity
Organization
Contact information
Practice address
1857 E 4TH ST, ONTARIO, CA 91764-2601
(323) 724-1010
Mailing address
1857 E 4TH ST, ONTARIO, CA 91764-2601
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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