Individual
LILIANA MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 WEST BLVD, LOS ANGELES, CA 90016-1660
(323) 610-4351
Mailing address
2435 WEST BLVD, LOS ANGELES, CA 90016-1660
(323) 610-4351
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA09251
CA
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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