Individual
COURTNEY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
Mailing address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
61908
CA
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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