Gonzalo Echarte Professional Dental Corporation | |
525 S Alvarado St Los Angeles CA 90057-2903 | |
(212) 483-1221 | |
Not Available |
Full Name | Gonzalo Echarte Professional Dental Corporation |
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Speciality | Dentist |
Location | 525 S Alvarado St, Los Angeles, California |
Authorized Official Name and Position | Gonzalo Echarte (PRESIDENT) |
Authorized Official Contact | 2134831221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gonzalo Echarte Professional Dental Corporation 525 S Alvarado St Los Angeles CA 90057-2903 Ph: (212) 483-1221 | Gonzalo Echarte Professional Dental Corporation 525 S Alvarado St Los Angeles CA 90057-2903 Ph: (212) 483-1221 |
NPI Number | 1629259080 |
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Provider Enumeration Date | 11/14/2007 |
Last Update Date | 11/14/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629259080 | NPI | - | NPPES |
G93205 | Other | CA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 52379 (California) | Primary |
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