| Carina A. Dizon Dmd,apc | |
|
3756 W Avenue 40 Suite 1c Los Angeles CA 90065-3665 | |
| (323) 255-1700 | |
| (323) 255-1829 |
| Full Name | Carina A. Dizon Dmd,apc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3756 W Avenue 40, Los Angeles, California |
| Authorized Official Name and Position | Carina A Dizon-joven (PRESIDENT) |
| Authorized Official Contact | 3232551700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carina A. Dizon Dmd,apc 3756 W Avenue 40 Suite 1c Los Angeles CA 90065-3665 Ph: (323) 255-1700 | Carina A. Dizon Dmd,apc 3756 W Avenue 40 Suite 1c Los Angeles CA 90065-3665 Ph: (323) 255-1700 |
| NPI Number | 1336209600 |
|---|---|
| Provider Enumeration Date | 12/09/2006 |
| Last Update Date | 09/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336209600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49301 (California) | Primary |
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