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Organization

MAGGIE DINOME, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAGGIE LEE DINOME M.D. (PRESIDENT)
(310) 582-7107
Entity
Organization

Contact information

Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 582-7107
(310) 828-8331
Mailing address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 582-7107
(310) 828-8331

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
07/13/2006
Last updated
02/25/2013
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