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Individual

ANGHELINA VELINCA NUTAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1423 E GAGE AVE, LOS ANGELES, CA 90001-1771
(323) 323-0093
Mailing address
1423 E GAGE AVE, LOS ANGELES, CA 90001-1771
(323) 364-0093

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
59021
CA

Other

Enumeration date
11/10/2018
Last updated
11/10/2018
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