Organization
DENTALVILLE
Active
Other names
leonid glosman
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA PAROCUA (MANAGEMENT)
(323) 559-1517
Entity
Organization
Contact information
Practice address
833 W WHITTIER BLVD, MONTEBELLO, CA 90640-4735
(323) 266-1000
(323) 890-2955
Mailing address
833 W. WHITTIER BLVD, MONTEBELLO, CA 90640
(323) 266-1000
(323) 890-2955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26405
CA
Other
Enumeration date
04/19/2007
Last updated
07/09/2012
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