Organization
SAN ANGEL DENTAL MANAGEMENT COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIA LARISSA ANCHETA DDS (PARTNER)
(562) 927-9050
Entity
Organization
Contact information
Practice address
8720 GARFIELD AVE, SUITE #104, SOUTH GATE, CA 90280-3720
(562) 927-9050
(562) 927-9060
Mailing address
8720 GARFIELD AVE, SUITE #104, SOUTH GATE, CA 90280-3720
(562) 927-9050
(562) 927-9060
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
47839
CA
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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