Organization
RAUL J. VALLEJO D. D. S., INC.
Active
Other names
Atlantic Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL J VALLEJO DDS (DENTIST)
(310) 603-1318
Entity
Organization
Contact information
Practice address
11301 ATLANTIC AVE, LYNWOOD, CA 90262-3007
(310) 603-1383
(310) 603-1213
Mailing address
11301 ATLANTIC AVE, LYNWOOD, CA 90262-3007
(310) 603-1383
(310) 603-1213
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
37376
CA
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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