Individual
SARA DE GRAKOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(310) 920-9933
Mailing address
6553 WINNETKA AVE, WINNETKA, CA 91306-4247
(818) 422-5686
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
57852
CA
126800000X
Dental Assistant
57852
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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