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Organization

ARTE REDEL APO DMD INC.

Active
Other names
Amar Family Dental Practice
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARTE REDEL SAMONTE APO (OWNER)
(626) 913-3341
Entity
Organization

Contact information

Practice address
1559 E. AMAR RD, #V, WEST COVINA, CA 91792-1679
(626) 913-3341
(626) 913-3601
Mailing address
1559 E. AMAR RD, #V, WEST COVINA, CA 91792-1679
(626) 913-3341
(626) 913-3601

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49452
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G-93504-01
DENTAL
Enumeration date
11/05/2008
Last updated
11/05/2008
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