Organization
MARIDETTE CUNANAN DDS INC
Active
Other names
Green Dental General & Cosmetic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIDETTE CUNANAN DDS (OWNER, DENTIST)
(360) 990-1034
Entity
Organization
Contact information
Practice address
3731 WILSHIRE BLVD STE 625, LOS ANGELES, CA 90010-2824
(213) 381-3738
Mailing address
5333 LEMON GROVE AVE, LOS ANGELES, CA 90038-4005
(360) 990-1034
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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