Organization
MARISSA FAELDAN-SUAREZ, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISSA FAELDAN-SUAREZ (PEDIATRIC DENTIST)
(626) 379-1110
Entity
Organization
Contact information
Practice address
5432 SEPULVEDA BLVD, SUITE B, CULVER CITY, CA 90230-5512
(626) 379-1110
Mailing address
5432 SEPULVEDA BLVD, SUITE B, CULVER CITY, CA 90230-5512
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
58944
CA
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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