Organization
ADRIAN ACOSTA DDS A PROF DENTAL CORP
Active
Parent organization
ADRIAN ACOSTA DDS A PROF DENTAL CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADRIAN ACOSTA DDS A PROF DENTAL CORP
Authorized official
BRUNO BOVAL (TREASURER)
(562) 552-1344
Entity
Organization
Contact information
Practice address
901 W. WHITTIER BLVD, LA HABRA, CA 90631
(562) 905-8338
Mailing address
901 W. WHITTIER BLVD, LA HABRA, CA 90631
(562) 905-8338
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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