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Individual

OMAR ALFREDO TUNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
816 WEST 74TH STREET, LOS ANGELES, CA 90044
(323) 758-3886
(323) 563-3434
Mailing address
816 W 74TH ST, LOS ANGELES, CA 90044-5113
(323) 758-3886
(323) 563-3434

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
09/14/2009
Last updated
09/14/2009
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