Organization
ECHARTE, FERNANDEZ PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GONAZALO ECHARTE DDS (PRESIDENT)
(626) 350-7087
Entity
Organization
Contact information
Practice address
1150 N HACIENDA BLVD, LA PUENTE, CA 91744-2023
(626) 350-7088
(626) 350-8850
Mailing address
1150 N HACIENDA BLVD, LA PUENTE, CA 91744-2023
(626) 350-7088
(626) 350-8850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52379
CA
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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