Individual
CAM V DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4201 WILSHIRE BLVD SUITE 112, LOS ANGELES, CA 90010
(323) 938-6660
(323) 939-3434
Mailing address
4201 WILSHIRE BLVD SUITE 112, LOS ANGELES, CA 90010
(323) 938-6660
(323) 939-3434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46177
CA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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