Individual
DR. CARLOS SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DN
Contact information
Practice address
130 HEFFERNAN AVE, PMB 45092, CALEXICO, CA 92231-2736
(760) 427-3607
Mailing address
130 HEFFERNAN AVE, PMB 45092, CALEXICO, CA 92231-2736
(760) 427-3607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
A6395711
CA
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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