Organization
LOUIS F MASCOLA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS FRANK MASCOLA DDS (OWNER PRESIDENT)
(310) 831-2377
Entity
Organization
Contact information
Practice address
770 W 9TH ST, SAN PEDRO, CA 90731-3602
(310) 831-2377
(310) 831-0561
Mailing address
770 W 9TH ST, SAN PEDRO, CA 90731-3602
(310) 831-2377
(310) 831-0561
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19931
CA
Other
Enumeration date
08/08/2007
Last updated
04/06/2015
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