Individual
BIANCA ELEYNA DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
522 S SAN PEDRO ST, LOS ANGELES, CA 90013-2102
(213) 486-4077
Mailing address
522 S SAN PEDRO ST, LOS ANGELES, CA 90013-2102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107860
CA
Other
Enumeration date
03/30/2021
Last updated
04/05/2024
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