Individual
ANETTE PAULINA VISTOSO MONREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 W 34TH ST, LOS ANGELES, CA 90089-0058
(213) 821-0148
Mailing address
160 CORSON ST APT 428, PASADENA, CA 91103-3864
(626) 423-2925
Taxonomy
Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
Primary
SP308
CA
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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