| Clinica Dental Familiar Seville | |
|
6615 Seville Ave Huntington Park CA 90255-4801 | |
| (323) 581-1010 | |
| (323) 581-7598 |
| Full Name | Clinica Dental Familiar Seville |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6615 Seville Ave, Huntington Park, California |
| Authorized Official Name and Position | Oscar Ramiro Trigoso (OWNER) |
| Authorized Official Contact | 3235811010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Dental Familiar Seville 6615 Seville Ave Huntington Park CA 90255-4801 Ph: (323) 581-1010 | Clinica Dental Familiar Seville 6615 Seville Ave Huntington Park CA 90255-4801 Ph: (323) 581-1010 |
| NPI Number | 1699970848 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699970848 | NPI | - | NPPES |
| G-9245702 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 41686 (California) | Primary |
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