Individual
JUAN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2604 S VERMONT AVE STE F, LOS ANGELES, CA 90007-2298
(323) 731-3333
Mailing address
8601 STATE ST APT 17, SOUTH GATE, CA 90280-6977
(323) 751-3698
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
53498
CA
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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