Organization
CLAUDIA VIDES SAMARITANA DENTAL, INC
Active
Other names
Samaritana Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER C MARSAC RDA (REGIONAL DIRECTOR)
(562) 310-6856
Entity
Organization
Contact information
Practice address
510 S ALVARADO ST STE 208, LOS ANGELES, CA 90057-2904
(213) 483-3600
Mailing address
510 S ALVARADO ST STE 208, LOS ANGELES, CA 90057-2904
(213) 483-3600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56246
CA
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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