Individual
MR. JUAN GABRIEL MELGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTAL-ORAL ASSIST
Contact information
Practice address
1443 E 58TH DR, LOS ANGELES, CA 90001-1203
(424) 219-8626
Mailing address
1443 E 58TH DR, LOS ANGELES, CA 90001-1203
(424) 219-8626
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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