| City Terrace Dental | |
|
3604 E 1st St Los Angeles CA 90063-2326 | |
| (323) 260-7173 | |
| (323) 927-2363 |
| Full Name | City Terrace Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3604 E 1st St, Los Angeles, California |
| Authorized Official Name and Position | Aquileo Martinez (OWNER) |
| Authorized Official Contact | 3232607173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Terrace Dental 3604 E 1st St Los Angeles CA 90063-2326 Ph: (323) 260-7173 | City Terrace Dental 3604 E 1st St Los Angeles CA 90063-2326 Ph: (323) 260-7173 |
| NPI Number | 1548800576 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 01/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548800576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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