Individual
CAROLYN ARISTORENAS CANCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1300 N VERMONT AVE, SUITE #801, LOS ANGELES, CA 90027-6005
(323) 661-8001
(323) 661-8009
Mailing address
1300 N VERMONT AVE, SUITE #801, LOS ANGELES, CA 90027-6005
(323) 661-8001
(323) 661-8009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42282
CA
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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